Active NPI
Paul Raymond Carlson, D.C.
- Orthopedic Chiropractor
- Long Beach, CA
National Provider Identifier
1992980668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- DC13966
- Practice address
- 11 Golden SHR
Suite 220
Long Beach, CA 90802-4214 - Phone
- (562) 310-4592
- Fax
- (562) 310-4592
- NPI assigned
- Dec 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | DC13966 | CA | Primary |
Addresses
Primary practice location
11 Golden SHR
Suite 220
Long Beach, CA 90802-4214
Mailing address
11 Golden SHR
Suite220
Long Beach, CA 90802-4214
Phone (562) 310-4592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228262400000",
"number": "1992980668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 GOLDEN SHR",
"address_2": "SUITE220",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024214",
"telephone_number": "562-310-4592",
"fax_number": "562-310-4592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 GOLDEN SHR",
"address_2": "SUITE 220",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024214",
"telephone_number": "562-310-4592",
"fax_number": "562-310-4592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "PAUL",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-31",
"last_updated": "2008-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "CA",
"license": "DC13966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.