CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
NPI 1134849045
Non-Pharmacy Dispensing Site in San Mateo, CA
NPI Status: Active since August 31, 2022
Contact Information
46 HILLSDALE MALL
SAN MATEO, CA
ZIP 94403
Phone: (650) 769-5612
- Organization
- Non-Pharmacy Dispensing Site
- CLIA Number: 05D2203158
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-01-2026
About CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
This page provides the complete NPI Profile along with additional information for Carbon Health Medical Group Of California Pc, a provider established in San Mateo, California operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1134849045 assigned on August 2022. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Marley Page (Director)
- NPI
- 1134849045
- Provider Name
- CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
- Entity Type
- Organization
- Location Address
- 46 HILLSDALE MALL SAN MATEO, CA 94403
- Location Phone
- (650) 769-5612
- Mailing Address
- 300 CALIFORNIA ST FL 7 SAN FRANCISCO, CA 94104
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-31-2022
- Last Update Date
- 06-24-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- Taxonomy Description
- 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.)
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2203158
- Facility Type
- Physician Office
- Certificate Effective Date
- December 02, 2024
- Certificate Expiration Date
- December 01, 2026
- Laboratory Director
- DR. SUJAL MANDAVIA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Carbon Health Medical Group Of California Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1134849045, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
SAN MATEO, CA 94403
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134849045, enumerated as an "organization" on August 31, 2022.
The provider is located at 46 HILLSDALE MALL SAN MATEO, CA 94403 and the phone number is (650) 769-5612.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
