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CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
NPI 1013780360
Non-Pharmacy Dispensing Site in Culver City, CA

Active since October 30, 2023
8900 VENICE BLVD STE 109, CULVER CITY, CA 90232(424) 282-5696 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 24, 2025, Jul 9, 2024, Oct 30, 2023 (3 updates tracked since 2023).

About Carbon Health Medical Group Of California Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC (NPI 1013780360) is a healthcare organization registered as a non-pharmacy dispensing site in Culver City, California and active in the NPI registry since October 2023. The organization lists Marley Page, Director, as its authorized official.

NPPES Registry Identity

NPI1013780360
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameCARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
Location Address8900 VENICE BLVD STE 109Culver City, CA 90232-2361
Mailing Address2100 Franklin St Ste 355Oakland, CA 94612-3140 · (415) 446-1733
Phone(424) 282-5696
Organization SubpartNo
Authorized OfficialMarley PageDirector · (417) 861-9739
Enumeration DateOctober 30, 2023
Last NPPES UpdateJune 24, 20253 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1013780360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
8900 VENICE BLVD STE 109, Culver City, CA 90232
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2190806

Carbon Health Medical Group Of California, PC · Culver City, CA
Expired · Aug 18, 2026
CLIA Number05D2190806
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2024
Certificate Expiration DateAugust 18, 2026
Laboratory DirectorSujal Mandavia
Laboratory Phone(424) 282-5696
Laboratory LocationCarbon Health Medical Group Of California, PC8900 Venice Blvd, Ste 109, Culver City, CA 90232
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAMIM MOHAMED REMTULLA PA-C
Physician Assistant (Medical)
8900 VENICE BLVD STE 109
CULVER CITY, CA 90232
Los Angeles County (424) 282-5696

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carbon Health Medical Group Of California PC's NPI number?

The NPI number for Carbon Health Medical Group Of California PC is 1013780360. It was assigned to this organization in the NPPES registry on October 30, 2023.

Where is Carbon Health Medical Group Of California PC located?

Carbon Health Medical Group Of California PC is located at 8900 Venice Blvd Ste 109, Culver City, CA 90232. The listed phone number is (424) 282-5696.

What is Carbon Health Medical Group Of California PC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Carbon Health Medical Group Of California PC was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.