CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
NPI 1033991773
Non-Pharmacy Dispensing Site in Chino Hills, 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, 2023CLIA 05D2288708 · Waiver

15840 SOQUEL CANYON PKWY STE E&G, CHINO HILLS, CA 91709(909) 479-2764 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 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 1033991773) is a healthcare organization registered as a non-pharmacy dispensing site in Chino Hills, California and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through August 28, 2027 and lists Marley Page, Director, as its authorized official.

NPPES Registry Identity

NPI1033991773

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameCARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC

Location Address15840 SOQUEL CANYON PKWY STE E&GChino Hills, CA 91709-5872

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

Phone(909) 479-2764

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 1033991773 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.)

15840 SOQUEL CANYON PKWY STE E&G, Chino Hills, CA 91709

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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 05D2288708

Carbon Health Medical Group Of California, PC · Chino Hills, CA

Active · expires Aug 28, 2027

CLIA Number05D2288708

Laboratory TypePhysician Office

Certificate Effective DateAugust 29, 2025

Certificate Expiration DateAugust 28, 2027

Laboratory DirectorSujal Mandavia

Laboratory Phone(415) 851-6102

Laboratory LocationCarbon Health Medical Group Of California, PC15840 Soquel Canyon Pkwy, Ste E, Chino Hills, CA 91709

CLIA data matches this NPI record on: Address Name

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

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 1033991773. 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 15840 Soquel Canyon Pkwy Ste E&g, Chino Hills, CA 91709. The listed phone number is (909) 479-2764.

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.

Does Carbon Health Medical Group Of California PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2288708) is associated with this NPI, valid through August 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.