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MR. CRAIG JOHN CARBONNIERE SR. P.A.
NPI 1063578110
Physician Assistant in Lakewood, CA

Active since December 30, 2006
5203 LAKEWOOD BLVD, LAKEWOOD, CA 90712(562) 633-2273 Get Directions Write a Review

NPPES record last updated: July 15, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Craig John Carbonniere Sr. P.a. NPPES

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

MR. CRAIG JOHN CARBONNIERE SR. P.A. (NPI 1063578110) is an individual physician assistant in Lakewood, California, licensed in California (PA10492) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1063578110
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. CRAIG JOHN CARBONNIERE SR.Credential: P.A.
Location Address5203 LAKEWOOD BLVDLakewood, CA 90712-2438
Mailing Address7692 Ellis AveHuntington Beach, CA 92648-1635 · (909) 217-4321
Phone(562) 633-2273
Sole ProprietorYes
Enumeration DateDecember 30, 2006
Last NPPES UpdateJuly 15, 2015
✔ NPI 1063578110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA10492
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5203 LAKEWOOD BLVD, Lakewood, CA 90712
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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.

KIMBERLEY LUDLOW M.D.
Specialist
5203 LAKEWOOD BLVD
LAKEWOOD, CA 90712
Los Angeles County (562) 633-2273
BACK TO WORK ORTHOPEDIC MEDICAL GROUP
Preferred Provider Organization
5203 LAKEWOOD BLVD
LAKEWOOD, CA 90712
Los Angeles County (562) 633-2273
EHAB SAMAAN DDS,INC
Dentist
5203 LAKEWOOD BLVD
LAKEWOOD, CA 90712
Los Angeles County (562) 531-7373
MS. FLORABEL REYNOSO L.P.T.A
Physical Therapy Assistant
5203 LAKEWOOD BLVD, SUITE B
LAKEWOOD, CA 90712
Los Angeles County (562) 633-2273
DR.SAMAAN DENTAL GROUP
Dentist
5203 LAKEWOOD BLVD
LAKEWOOD, CA 90712
Los Angeles County (562) 531-7373
SOUTHERN CALIFORNIA IMMEDIATE MEDICAL CENTER
Family Medicine
5203 LAKEWOOD BLVD
LAKEWOOD, CA 90712
Los Angeles County (562) 633-2273

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 Craig Carbonniere's NPI number?

The NPI number for Craig Carbonniere is 1063578110. It was assigned to this individual provider in the NPPES registry on December 30, 2006.

Where is Craig Carbonniere located?

Craig Carbonniere practices at 5203 Lakewood Blvd, Lakewood, CA 90712. The listed phone number is (562) 633-2273.

What is Craig Carbonniere's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Craig Carbonniere was last updated on July 15, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.