Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.
CARBON HEALTH PRIMARY CARE OF SOUTHERN CALIFORNIA PC
Complete NPI Record 1700707411
Clinic/Center - Primary Care in Eastvale, CA
Active since July 21, 2026
Complete NPI Dataset
This page contains the complete raw NPPES record for Carbon Health Primary Care Of Southern California Pc (NPI 1700707411), a clinic/center organization in Eastvale, CA. All 25 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1700707411 Field 1/25
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/25
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/25
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: CARBON HEALTH PRIMARY CARE OF SOUTHERN CALIFORNIA PC Field 4/25
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider First Line Business Mailing Address: PO BOX 210 Field 5/25
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: PORTSMOUTH Field 6/25
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: NH Field 7/25
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 038020210 Field 8/25
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 9/25
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider First Line Business Practice Location Address: 14117 LIMONITE AVE STE 300 Field 10/25
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: EASTVALE Field 11/25
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: CA Field 12/25
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 928803864 Field 13/25
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 14/25
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 9514622758 Field 15/25
- The telephone number associated with the location address of the provider being identified.
- Authorized Official Last Name: PAGE Field 18/25
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: MARLEY Field 19/25
- The first name of the authorized official.
- Authorized Official Title or Position: DIRECTOR OF CONTRACTING Field 20/25
- The title or position of the authorized official.
- Authorized Official Telephone Number: 4178619739 Field 21/25
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 261QP2300X Field 22/25
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 23/25
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 24/25
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
Secondary Practice Locations 36
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
1855 S Centre City Pkwy Ste 1885B
Location 1/36Escondido, CA 92025-6525 · Phone (442) 325-3758
555 E Ocean Blvd Ste 110
Location 2/36Long Beach, CA 90802-5084 · Phone (562) 645-4227
8900 Venice Blvd Ste 109
Location 3/36Culver City, CA 90232-2361 · Phone (310) 295-9029
4700 W Pico Blvd Ste Gh
Location 4/36Los Angeles, CA 90019-4267 · Phone (323) 673-7031
2110 W Sunset Blvd Ste M
Location 5/36Los Angeles, CA 90026-7318 · Phone (213) 510-8640
7330 El Camino Real
Location 6/36Atascadero, CA 93422-4629 · Phone (831) 621-1184
13299 South St
Location 7/36Cerritos, CA 90703-7307 · Phone (657) 348-2580
3195 Harbor Blvd Ste 3
Location 8/36Costa Mesa, CA 92626-2514 · Phone (949) 294-6862
10165 Valley View St
Location 9/36Cypress, CA 90630-4602 · Phone (657) 348-2427
82151 Avenue 42 Ste 100
Location 10/36Indio, CA 92203-9313 · Phone (442) 224-6968
1040 W Imperial Hwy Ste D
Location 11/36LA Habra, CA 90631-0608 · Phone (562) 471-6508
78965 Highway 111
Location 12/36LA Quinta, CA 92253-2072 · Phone (442) 372-2983
2010 E Carson St
Location 13/36Long Beach, CA 90807-3040 · Phone (213) 401-0371
3851 Katella Ave Ste 100
Location 14/36Los Alamitos, CA 90720-3385 · Phone (657) 319-3948
44419 Town Center Way Ste E
Location 15/36Palm Desert, CA 92260-2704 · Phone (442) 372-7224
500 First St
Location 16/36Paso Robles, CA 93446-3742 · Phone (831) 621-1449
858 N Rose Dr Ste C2
Location 17/36Placentia, CA 92870-7522 · Phone (657) 348-2568
806 New Los Angeles Ave Ste A1A2
Location 18/36Moorpark, CA 93021-3608 · Phone (818) 479-7837
40461 Murrieta Hot Springs Rd Ste J1
Location 19/36Murrieta, CA 92563-6402 · Phone (951) 462-2847
6160 Laurel Canyon Blvd Ste 160
Location 20/36North Hollywood, CA 91606-3287 · Phone (213) 341-0690
2484 Vista Way Ste 2484A
Location 21/36Oceanside, CA 92054-6199 · Phone (442) 372-7129
600 E Colorado Blvd Ste 120
Location 22/36Pasadena, CA 91101-6800 · Phone (626) 737-7358
7831 Monticello Ave Ste 1102
Location 23/36Rancho Cucamonga, CA 91739-8879 · Phone (909) 850-4453
415 N Pacific Coast Hwy Ste 101
Location 24/36Redondo Beach, CA 90277-2840 · Phone (310) 295-9064
109 S Las Posas Rd Ste 101
Location 25/36San Marcos, CA 92078-2419 · Phone (442) 325-3354
3032 Wilshire Blvd Ste A
Location 26/36Santa Monica, CA 90403-2370 · Phone (424) 531-7393
4550 Van Nuys Blvd Ste A4
Location 27/36Sherman Oaks, CA 91403-2844 · Phone (818) 230-2938
2944 Tapo Canyon Rd Ste A
Location 28/36Simi Valley, CA 93063-0903 · Phone (818) 476-4973
31845 Temecula Pkwy Ste 102
Location 29/36Temecula, CA 92592-2871 · Phone (951) 717-8621
620 E Janss Rd
Location 30/36Thousand Oaks, CA 91360-5113 · Phone (818) 510-4512
11806 Whittier Blvd Ste Ab
Location 31/36Whittier, CA 90601-4622 · Phone (562) 314-4992
13365 W Washington Blvd
Location 32/36Los Angeles, CA 90066-5134 · Phone (310) 295-9106
3955 Bedford Canyon Rd Unit 103
Location 33/36Corona, CA 92883-3627 · Phone (951) 394-7556
15840 Soquel Canyon Pkwy Ste Eg
Location 34/36Chino Hills, CA 91709-5872 · Phone (909) 850-4359
6971 El Camino Real Ste 101
Location 35/36Carlsbad, CA 92009-4114 · Phone (760) 208-4998
11971 Central Ave Ste B
Location 36/36Chino, CA 91710-7224 · Phone (909) 757-8631
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