1. Home
  2. Directory
  3. California
  4. San Jose
  5. Clinic Center
  6. NPI Profile

CARBON HEALTH SOUTH BAY MEDICAL GROUP PC
NPI 1740990597
Clinic/Center - Urgent Care in San Jose, CA

Active since December 02, 2022CLIA 05D2279767 · Waiver
377 SANTANA ROW STE 1180, SAN JOSE, CA 95128(669) 247-4773(888) 972-1912 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 16, 2024, Dec 2, 2022 (2 updates tracked since 2022).

About Carbon Health South Bay Medical Group Pc NPPES

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

CARBON HEALTH SOUTH BAY MEDICAL GROUP PC (NPI 1740990597) is a healthcare organization registered as an urgent care in San Jose, California and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through April 5, 2027 and lists Kaitlin Boyle, Director, as its authorized official.

NPPES Registry Identity

NPI1740990597
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameCARBON HEALTH SOUTH BAY MEDICAL GROUP PC
Location Address377 SANTANA ROW STE 1180San Jose, CA 95128-2061
Mailing Address2100 Franklin St Ste 355Oakland, CA 94612-3140 · (844) 234-7741 · Fax (888) 972-1912
Phone(669) 247-4773
Fax(888) 972-1912
Organization SubpartNo
Authorized OfficialKaitlin BoyleDirector · (303) 601-5392
Enumeration DateDecember 2, 2022
Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
✔ NPI 1740990597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
377 SANTANA ROW STE 1180, San Jose, CA 95128
Open in Google Maps ↗

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 05D2279767

Carbon Health Medical Group Of Ca, P.C. Dba Carbon Health · San Jose, CA
Active · expires Apr 5, 2027
CLIA Number05D2279767
Laboratory TypePhysician Office
Certificate Effective DateApril 6, 2025
Certificate Expiration DateApril 5, 2027
Laboratory DirectorSujal Mandavia
Laboratory Phone(669) 247-4773
Laboratory LocationCarbon Health Medical Group Of Ca, P.C. Dba Carbon Health377 Santana Row Suite 1180, San Jose, CA 95128
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

CARBON HEALTH SOUTH BAY PRIMARY CARE PC
Clinic/Center (Urgent Care)
377 SANTANA ROW STE 1180
SAN JOSE, CA 95128
Santa Clara County (669) 247-4773

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 South Bay Medical Group PC's NPI number?

The NPI number for Carbon Health South Bay Medical Group PC is 1740990597. It was assigned to this organization in the NPPES registry on December 2, 2022.

Where is Carbon Health South Bay Medical Group PC located?

Carbon Health South Bay Medical Group PC is located at 377 Santana Row Ste 1180, San Jose, CA 95128. The listed phone number is (669) 247-4773.

What is Carbon Health South Bay Medical Group PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Carbon Health South Bay Medical Group PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2279767) is associated with this NPI, valid through April 5, 2027. 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 South Bay Medical Group PC was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.