# CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CARBON HEALTH PRIMARY CARE OF CALIFORNIA PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134849045
- **Legal business name:** CARBON HEALTH PRIMARY CARE OF CALIFORNIA PC
- **Authorized official:** MARLEY PAGE (DIRECTOR)
- **Authorized official phone:** (417) 861-9739

## Contact information

- **Practice address:** 46 HILLSDALE MALL, SAN MATEO, CA 94403-3407
- **Practice address phone:** (650) 769-5612
- **Mailing address:** 300 CALIFORNIA ST FL 7, SAN FRANCISCO, CA 94104-1415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 08/31/2022
- **Last updated:** 06/24/2025