Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
CARL LARUSSON
Active
Individual
CARL LARUSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
211D00000X
Podiatric Assistant
—
—
213E00000X
Podiatrist
Primary
E6252
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2023
Last updated
07/21/2026
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