CARBON HEALTH MEDICAL GROUP OF SUNNYVALE INC
NPI 1124701800
Clinic/Center - Urgent Care in San Marcos, CA
NPI Status: Active since August 09, 2023
Contact Information
109 S LAS POSAS RD STE 101
SAN MARCOS, CA
ZIP 92078
Phone: (760) 258-4826
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 05D2270860
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-20-2026
About CARBON HEALTH MEDICAL GROUP OF SUNNYVALE INC
This page provides the complete NPI Profile along with additional information for Carbon Health Medical Group Of Sunnyvale Inc, a provider established in San Marcos, California operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1124701800 assigned on August 2023. The practitioner's primary taxonomy code is 261QU0200X. 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 Kaitlin Boyle (Director)
- NPI
- 1124701800
- Provider Name
- CARBON HEALTH MEDICAL GROUP OF SUNNYVALE INC
- Entity Type
- Organization
- Location Address
- 109 S LAS POSAS RD STE 101 SAN MARCOS, CA 92078
- Location Phone
- (760) 258-4826
- Mailing Address
- 2100 FRANKLIN ST STE 355 OAKLAND, CA 94612
- Mailing Phone
- (415) 446-1733
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-09-2023
- Last Update Date
- 07-09-2024
- Code Navigator
Location Map
Secondary Locations
- 1855 S Centre City Pkwy Ste 1885B
Escondido, CA 92025
(442) 203-4936 - 6971 El Camino Real Ste 101
Carlsbad, CA 92009
(760) 258-4971 - 2484 Vista Way # 2484A
Oceanside, CA 92054
(760) 421-5577
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
Clinic/Center Urgent Care
- Taxonomy Code
- 261QU0200X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center |
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
- 05D2270860
- Facility Type
- Physician Office
- Certificate Effective Date
- October 21, 2024
- Certificate Expiration Date
- October 20, 2026
- Laboratory Director
- SUJAL MANDAVIA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Carbon Health Medical Group Of Sunnyvale Inc 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 | 1 | 2 | 4 | 7 | 0 | 1 | 8 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 14 | 0 | 2 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 1 + 4 + 0 + 2 + 8 + 0 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1124701800 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124701800, enumerated in the NPI registry as an "organization" on August 09, 2023
The provider is located at 109 S Las Posas Rd Ste 101 San Marcos, Ca 92078 and the phone number is (760) 258-4826
This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care
The provider's CLIA number is 05D2270860 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 August 09, 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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