CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
NPI 1013799758
Non-Pharmacy Dispensing Site in La Habra, CA

Q: 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.

Active since October 17, 2023

1040 W IMPERIAL HWY STE D, LA HABRA, CA 90631(714) 451-1072 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2025, Jul 9, 2024, Oct 17, 2023 (3 updates tracked since 2023).

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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 1013799758) is a healthcare organization registered as a non-pharmacy dispensing site in La Habra, California and active in the NPI registry since October 2023. The organization lists Marley Page, Director, as its authorized official.

NPPES Registry Identity

NPI1013799758

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameCARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC

Location Address1040 W IMPERIAL HWY STE DLa Habra, CA 90631-0608

Mailing Address2100 Franklin St Ste 355Oakland, CA 94612-3140 · (415) 446-1733

Phone(714) 451-1072

Organization SubpartNo

Authorized OfficialMarley PageDirector · (417) 861-9739

Enumeration DateOctober 17, 2023

Last NPPES UpdateJune 24, 20253 updates tracked since enumeration

NPPES CertifiedJune 24, 2025

✔ NPI 1013799758 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.)

1040 W IMPERIAL HWY STE D, La Habra, CA 90631

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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 05D2082148

Carbon Health Medical Group Of California, PC · La Habra, CA

Expired · Aug 6, 2026

CLIA Number05D2082148

Laboratory TypePhysician Office

Certificate Effective DateAugust 7, 2024

Certificate Expiration DateAugust 6, 2026

Laboratory DirectorSujal Mandavia

Laboratory Phone(615) 600-4100

Laboratory LocationCarbon Health Medical Group Of California, PC1040 W Imperial Highway, Ste D, La Habra, CA 90631

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

ELADIO MARIANO LACSAMANA TIZON NP

Nurse Practitioner

1040 W IMPERIAL HWY STE D
LA HABRA, CA 90631

Orange County (714) 451-1072

MR. JONATHAN JOSEPH TAN PA-C

Physician Assistant

1040 W IMPERIAL HWY STE D
LA HABRA, CA 90631

Orange County (714) 451-1072

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 1013799758. It was assigned to this organization in the NPPES registry on October 17, 2023.

Where is Carbon Health Medical Group Of California PC located?

Carbon Health Medical Group Of California PC is located at 1040 W Imperial Hwy Ste D, La Habra, CA 90631. The listed phone number is (714) 451-1072.

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.