Thurman Tony Carroll III

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1404 Franklin St Ste 210
Oakland, CA 94612-3208

Phone

(510) 504-1293

Fax

(510) 832-2139

NPI assigned

Jun 28, 2023

Last updated

Jun 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1982381380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 FRANKLIN ST STE 210",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123208",
            "telephone_number": "510-504-1293",
            "fax_number": "510-832-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 FRANKLIN ST STE 210",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123208",
            "telephone_number": "510-504-1293",
            "fax_number": "510-832-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "THURMAN",
        "middle_name": "TONY",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Christopher Carroll
• Sarah Carroll, PHD
• Shelby Carroll
• Susan Carroll, TRAINEE, MA
• Susan Marie Carroll, M.S., CCC-SLP
• William Preston Carroway III
• Evelyn Carson, PA-C
• Sarah West Carson, LCSW
• Tiffany Carson
• Timothy G Carson

• Community Health Worker in Oakland, CA
• Providers in Oakland, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.