DR. MICHAEL G CARLSTON (NPI# 1023140977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023140977 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL G CARLSTON |
| Credential | M.D. |
| Practice Address |
2448 Guerneville Rd Suite 900 Santa Rosa CA 95403-7222 |
| Mailing Address |
427 Doyle Park Dr Santa Rosa CA 95405-4515 |
| Practice Telephone | 7075451554 |
| Practice Fax Number | 7075451595 |
| Mailing Telephone | 7075451554 |
| Mailing Fax Number | 7075451595 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2017-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G54737 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2448 GUERNEVILLE RD SUITE 900 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-7222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669454211 | Jeffrey Ian Petersen | Dentist | 2448 Guerneville Rd, Santa Rosa, CA 95403-4175 | 2005-11-18 |
| 1225569916 | Ian Petersen | Dentist | 2448 Guerneville Rd, Suite 200, Santa Rosa, CA 95403-4175 | 2017-03-23 |
| 1003153461 | Edita Vasiliauskas | Dentist | 2448 Guerneville Rd, Santa Rosa, CA 95403-4175 | 2013-01-04 |
| 1164614533 | Joshua Drew Hammer | Dentist | 2448 Guerneville Rd, Suite 700, Santa Rosa, CA 95403-4175 | 2007-08-09 |
| 1528262920 | John West Buzza | Dentist | 2448 Guerneville Rd, Suite 1200, Santa Rosa, CA 95403-4175 | 2007-06-12 |
| 1497972152 | Jan S. Rice | Acupuncturist | 2448 Guerneville Rd, Suite 1100, Santa Rosa, CA 95403-4175 | 2007-04-20 |
| 1215151675 | Jay H Callender | Acupuncturist | 2448 Guerneville Rd, Suite 400, Santa Rosa, CA 95403-4175 | 2007-04-13 |
| 1588796957 | Ron Kennedy | Internal Medicine | 2448 Guerneville Rd, Ste. 800, Santa Rosa, CA 95403-4175 | 2007-03-12 |
| 1558406058 | Jay H Herdt | Acupuncturist | 2448 Guerneville Rd, 1100, Santa Rosa, CA 95403-4175 | 2007-02-21 |
| 1215086624 | Albert E Couture Jr. | Dentist | 2448 Guerneville Rd, Suite 700, Santa Rosa, CA 95403 | 2007-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346889581 | Herbert Carey Pratt | Family Medicine | 4210 Thomas Lake Harris Dr Apt 217, Santa Rosa, CA 95403-5793 | 2020-01-06 |
| 1346883998 | Teresa Su | Family Medicine | 2200 County Center Dr Ste C, Santa Rosa, CA 95403-3000 | 2019-10-25 |
| 1114468568 | Erica Kumala | Family Medicine | 401 Bicentennial Way Ste 285, Santa Rosa, CA 95403-2149 | 2017-03-18 |
| 1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
| 1467745950 | Courtney King | Family Medicine | 4702 Starbuck Ave, Santa Rosa, CA 95409 | 2011-05-17 |
| 1801186648 | Adam Crawford Francis | Family Medicine | 3569 Round Barn Cir Ste 200, Santa Rosa, CA 95403-1757 | 2011-04-13 |
| 1811217003 | Dora Alicia Martinez | Family Medicine | 122 Fm 506, Santa Rosa, TX 78593-0226 | 2010-06-10 |
| 1558518290 | John Andrew Carollo Jr. | Family Medicine | 5555 Montgomery Dr Apt 36, Santa Rosa, CA 95409-5597 | 2008-08-25 |
| 1154577831 | Sutter Medical Group of The Redwoods | Family Medicine | 500 Doyle Park D., 200, Santa Rosa, CA 95405 | 2008-08-13 |
| 1013175918 | Lucia Dei Roncalli | Family Medicine | 1010 Sundown Trl, Santa Rosa, CA 95404-1115 | 2008-05-28 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on DR. MICHAEL G CARLSTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.