CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC - NPI 1043852999

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

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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 1043852999) is a healthcare organization registered as a multi-specialty in San Jose, California and active in the NPI registry since October 2019. The organization holds 2 active CLIA laboratory certificates, maintains 4 additional practice locations, and lists Marley Page, Director, as its authorized official.

NPPES Registry Identity

NPI1043852999

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameCARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC

Location Address4150 N 1ST STSan Jose, CA 95134-1513

Mailing Address300 California Ave FlSan Francisco, CA 94130-1708

Phone(669) 200-4558

Organization SubpartYes

Authorized OfficialMarley PageDirector · (303) 601-5392

Enumeration DateOctober 11, 2019

Last NPPES UpdateJune 25, 20257 updates tracked since enumeration

NPPES CertifiedJune 25, 2025

✔ NPI 1043852999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X

4150 N 1ST ST, San Jose, CA 95134

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Secondary Practice Locations 4

Location 11679 E Monte Vista Ave Ste 104Vacaville, CA 95688-3123 · Phone (707) 624-7400

Location 2132 Vintage Way Ste F5Novato, CA 94945-5026 · Phone (628) 203-9029

Location 3303 Corte Madera Town Ctr # 303Corte Madera, CA 94925-1207 · Phone (415) 840-8615

Location 4411 3rd StSan Rafael, CA 94901-3548 · Phone (415) 854-7159

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 05D2286316

Carbon Health Medical Group Of California, P.C. · San Jose, CA

Active · expires Jul 25, 2027

CLIA Number05D2286316

Laboratory TypePhysician Office

Certificate Effective DateJuly 26, 2025

Certificate Expiration DateJuly 25, 2027

Laboratory DirectorSujal Mandavia

Laboratory Phone(415) 851-6102

Laboratory LocationCarbon Health Medical Group Of California, P.C.1390 El Paseo De Saratoga, Suite 1390, San Jose, CA 95129

CLIA data matches this NPI record on: Name

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

Certificate of Waiver 05D2230430

Carbon Health Medical Group Of California, PC · Corte Madera, CA

Active · expires Jul 22, 2027

CLIA Number05D2230430

Laboratory TypePhysician Office

Certificate Effective DateJuly 23, 2025

Certificate Expiration DateJuly 22, 2027

Laboratory DirectorSujal S. Mandavia

Laboratory Phone(415) 639-4667

Laboratory LocationCarbon Health Medical Group Of California, PC303 Corte Madera Town Center, Corte Madera, CA 94925

CLIA data matches this NPI record on: Name

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

Other Providers at the Same Location NPPES 5

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

DR. JULIANNA NICOLE NEYMAN YOUSSEF DNP, APRN, FNP-BC

Nurse Practitioner (Family)