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CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
NPI 1134849045
Non-Pharmacy Dispensing Site in San Mateo, CA

Active since August 31, 2022CLIA 05D2203158 · Waiver
46 HILLSDALE MALL, SAN MATEO, CA 94403(650) 769-5612 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 and 2 more (5 updates tracked since 2022).

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 1134849045) is a healthcare organization registered as a non-pharmacy dispensing site in San Mateo, California and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through December 1, 2026 and lists Marley Page, Director, as its authorized official.

NPPES Registry Identity

NPI1134849045
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameCARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
Location Address46 HILLSDALE MALLSan Mateo, CA 94403-3407
Mailing Address300 California St Fl 7San Francisco, CA 94104-1415
Phone(650) 769-5612
Organization SubpartYesParent: Carbon Health Primary Care Of California Pc
Authorized OfficialMarley PageDirector · (417) 861-9739
Enumeration DateAugust 31, 2022
Last NPPES UpdateJune 24, 20255 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1134849045 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.)
46 HILLSDALE MALL, San Mateo, CA 94403
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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 05D2203158

Carbon Health Medical Group Of California, PC · San Mateo, CA
Active · expires Dec 1, 2026
CLIA Number05D2203158
Laboratory TypePhysician Office
Certificate Effective DateDecember 2, 2024
Certificate Expiration DateDecember 1, 2026
Laboratory DirectorDr. Sujal Mandavia
Laboratory Phone(415) 639-4667
Laboratory LocationCarbon Health Medical Group Of California, PC46 Hillsdale Mall, San Mateo, CA 94403
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 4

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

RACHEL LANE PA
Physician Assistant
46 HILLSDALE MALL
SAN MATEO, CA 94403
San Mateo County (650) 292-0847
KRISTEN WALSH PA-C
Physician Assistant
46 HILLSDALE MALL
SAN MATEO, CA 94403
San Mateo County (650) 292-0847
STEPHANIE HWANYING YEH PA-C
Physician Assistant
46 HILLSDALE MALL
SAN MATEO, CA 94403
San Mateo County (650) 769-5612
CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
Clinic/Center (Multi-Specialty)
46 HILLSDALE MALL
SAN MATEO, CA 94403
San Mateo County (650) 769-5612

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 1134849045. It was assigned to this organization in the NPPES registry on August 31, 2022.

Where is Carbon Health Medical Group Of California PC located?

Carbon Health Medical Group Of California PC is located at 46 Hillsdale Mall, San Mateo, CA 94403. The listed phone number is (650) 769-5612.

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 05D2203158) is associated with this NPI, valid through December 1, 2026. 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.