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CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
NPI 1053853226
Clinic/Center - Multi-Specialty in Berkeley, CA

Active since November 04, 2016CLIA 05D2070462 · Waiver
2920 TELEGRAPH AVE, BERKELEY, CA 94705(510) 686-3621 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2025, Jul 16, 2024, Dec 6, 2023 and 9 more (12 updates tracked since 2016).

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 1053853226) is a healthcare organization registered as a multi-specialty in Berkeley, California and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through December 16, 2027 and lists Marley Page, Director, as its authorized official.

NPPES Registry Identity

NPI1053853226
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
Location Address2920 TELEGRAPH AVEBerkeley, CA 94705-2031
Mailing Address2920 Telegraph AveBerkeley, CA 94705-2031 · (510) 686-3621
Phone(510) 686-3621
Organization SubpartNo
Authorized OfficialMarley PageDirector · (417) 861-9739
Enumeration DateNovember 4, 2016
Last NPPES UpdateJune 25, 202512 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1053853226 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 ListedPediatricsTaxonomy 208000000X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
2920 TELEGRAPH AVE, Berkeley, CA 94705
Open in Google Maps ↗

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

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 05D2070462

Carbon Health Medical Group Of California, PC · Berkeley, CA
Active · expires Dec 16, 2027
CLIA Number05D2070462
Laboratory TypePhysician Office
Certificate Effective DateDecember 17, 2025
Certificate Expiration DateDecember 16, 2027
Laboratory DirectorSujal S. Mandavia, MD
Laboratory Phone(415) 639-4667
Laboratory LocationCarbon Health Medical Group Of California, PC2920 Telegraph Ave Ste 100, Berkeley, CA 94705
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 6

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

TOSCA TALIA MAGNUS FNP
Nurse Practitioner
2920 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (415) 404-3168
CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
Clinic/Center (Urgent Care)
2920 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 686-3621
ERIC NGHE RN
Nurse Practitioner (Psychiatric/Mental Health)
2920 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 686-3621
KATY GENE GUTMAN
Nurse Practitioner (Family)
2920 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 686-3621
ANNETTE DELILAH PIZANO PA-C
Physician Assistant
2920 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 686-3621
NATASHA LAROIA DNP-FNP
Nurse Practitioner (Family)
2920 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (415) 404-3168

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 1053853226. It was assigned to this organization in the NPPES registry on November 4, 2016.

Where is Carbon Health Medical Group Of California PC located?

Carbon Health Medical Group Of California PC is located at 2920 Telegraph Ave, Berkeley, CA 94705. The listed phone number is (510) 686-3621.

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.

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

Yes. A Certificate of Waiver (number 05D2070462) is associated with this NPI, valid through December 16, 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 25, 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.