1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

CARL GUSTAFSON DO
NPI 1548014426
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since April 16, 2024PECOS Enrolled
3100 N CENTRAL AVE, PHOENIX, AZ 85012(602) 812-4312 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 13, 2025, Apr 16, 2024 (2 updates tracked since 2024).

About Carl Gustafson Do NPPES

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

CARL GUSTAFSON DO (NPI 1548014426) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1548014426
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCARL GUSTAFSONCredential: DO
Location Address3100 N CENTRAL AVEPhoenix, AZ 85012-2637
Mailing Address3100 N Central AvePhoenix, AZ 85012-2637
Phone(602) 812-4312
Sole ProprietorNo
Enumeration DateApril 16, 2024
Last NPPES UpdateMay 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1548014426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3100 N CENTRAL AVE, Phoenix, AZ 85012
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12601 E Roosevelt StPhoenix, AZ 85008-4973 · Phone (833) 855-9973
Location 2350 W Thomas RdPhoenix, AZ 85013-4496 · Phone (602) 406-3000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carl Gustafson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

JENNY B NGUYEN
Student in an Organized Health Care Education/Training Program
3100 N CENTRAL AVE
PHOENIX, AZ 85012
Maricopa County (623) 552-1688
RAJAN JAY PARIKH
Student in an Organized Health Care Education/Training Program
3100 N CENTRAL AVE
PHOENIX, AZ 85012
Maricopa County (602) 812-4312
MARY JANE RISCH MD
Student in an Organized Health Care Education/Training Program
3100 N CENTRAL AVE
PHOENIX, AZ 85012
Maricopa County (602) 812-4312
JONATHAN BRAAT
Student in an Organized Health Care Education/Training Program
3100 N CENTRAL AVE
PHOENIX, AZ 85012
Maricopa County (602) 812-4312
ELLA WALTERS
Student in an Organized Health Care Education/Training Program
3100 N CENTRAL AVE
PHOENIX, AZ 85012
Maricopa County (602) 812-4312
AMBER KUSEK
Student in an Organized Health Care Education/Training Program
3100 N CENTRAL AVE
PHOENIX, AZ 85012
Maricopa County (602) 812-4312
ALLISON LU
Student in an Organized Health Care Education/Training Program
3100 N CENTRAL AVE
PHOENIX, AZ 85012
Maricopa County (602) 812-4312
MAYA K WITHERSPOON
Student in an Organized Health Care Education/Training Program
3100 N CENTRAL AVE
PHOENIX, AZ 85012
Maricopa County (602) 812-4312

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 Carl Gustafson's NPI number?

The NPI number for Carl Gustafson is 1548014426. It was assigned to this individual provider in the NPPES registry on April 16, 2024.

Where is Carl Gustafson located?

Carl Gustafson practices at 3100 N Central Ave, Phoenix, AZ 85012. The listed phone number is (602) 812-4312.

What is Carl Gustafson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Carl Gustafson enrolled in Medicare?

Yes. Carl Gustafson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carl Gustafson was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.