CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
NPI 1013780360
Non-Pharmacy Dispensing Site in Culver City, CA
NPI Status: Active since October 30, 2023
Contact Information
8900 VENICE BLVD STE 109
CULVER CITY, CA
ZIP 90232
Phone: (424) 282-5696
- Organization
- Non-Pharmacy Dispensing Site
- CLIA Number: 05D2190806
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-18-2026
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 Culver City, California operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1013780360 assigned on October 2023. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated June 2025. The authorized official of this NPI record is Marley Page (Director)
- NPI
- 1013780360
- Provider Name
- CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
- Entity Type
- Organization
- Location Address
- 8900 VENICE BLVD STE 109 CULVER CITY, CA 90232
- Location Phone
- (424) 282-5696
- Mailing Address
- 2100 FRANKLIN ST STE 355 OAKLAND, CA 94612
- Mailing Phone
- (415) 446-1733
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-30-2023
- 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
- 05D2190806
- Facility Type
- Physician Office
- Certificate Effective Date
- August 19, 2024
- Certificate Expiration Date
- August 18, 2026
- Laboratory Director
- 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 1 | 3 | 7 | 8 | 0 | 3 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 2 | 3 | 14 | 8 | 0 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 2 + 3 + 1 + 4 + 8 + 0 + 3 + 1 + 2 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1013780360 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1053614115 | SHAMIM MOHAMED REMTULLA PA-C Individual | Physician Assistant (Medical) | 8900 VENICE BLVD STE 109 CULVER CITY, CA 90232 (424) 282-5696 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013780360, enumerated in the NPI registry as an "organization" on October 30, 2023
The provider is located at 8900 Venice Blvd Ste 109 Culver City, Ca 90232 and the phone number is (424) 282-5696
This medical organization specializes in Non-Pharmacy Dispensing Site with taxonomy code 332900000X
The provider's CLIA number is 05D2190806 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on October 30, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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