CARL JEFFREY CARLSON (NPI# 1386669489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386669489 |
| Entity Type | Individual |
| Full Name | CARL JEFFREY CARLSON |
| Credential | M.D. |
| Practice Address |
2333 Mowry Ave Suite 220 Fremont CA 94538-1700 |
| Practice Telephone | 5107922012 |
| Practice Fax Number | 5107927986 |
| Mailing Telephone | 5107922012 |
| Mailing Fax Number | 5107927986 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2011-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G29295 | CA | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
G29295 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE | 060006330 | 01 |
| CA | COMMERCIAL | A44008 | 01 |
| CA | 00G292950 | 05 | |
| CA | BLUECROSS AND BLUESHIELD | 00G292950 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013163971 | Carl William Carlson | General Practice | 205 Merrill St, Bussey, IA 50044-8135 | 2008-08-12 |
| 1336204080 | Carl M. Carlson | Social Worker | 9 Highland Cir, Chico, CA 95926 | 2006-12-22 |
| 1508893512 | Carl Joseph Carlson | Internal Medicine | 13624 W Camino Del Sol, Suite 150, Sun City West, AZ 85375-3405 | 2006-06-26 |
| 1376529016 | Carl Sanford Carlson Jr. | Orthopaedic Surgery | 200 Ft Sanders West Blvd, #307, Knoxville, TN 37922 | 2005-12-15 |
| 1912362278 | Carl Carlson | Counselor | 1124 International Blvd, Oakland, CA 94606-4331 | 2015-12-30 |
| 1386956464 | Carl Samuel Carlson | Psychologist | 1171 Market St, Suite 103, Fort Mill, SC 29708-6500 | 2010-07-06 |
| 1720132541 | Carl Warner Carlson | Radiology | 114 Whitwell St, Quincy, MA 02169-1870 | 2007-01-22 |
| Street Address |
2333 MOWRY AVE SUITE 220 |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144221953 | Padmavathi Kudaravalli | Internal Medicine | 2333 Mowry Ave, Ste 300, Fremont, CA 94538-1626 | 2005-08-02 |
| 1659746378 | Priscilla Ching | Nurse Practitioner | 2333 Mowry Ave, Fremont, CA 94538-1625 | 2015-12-07 |
| 1659623676 | California Cardiovascular Consultants Medical Associates, Inc. | Obstetrics & Gynecology | 2333 Mowry Ave, Suite 300, Fremont, CA 94538-1626 | 2012-10-15 |
| 1225386642 | California Cardiovascular | Obstetrics & Gynecology | 2333 Mowry Ave, Suite 300, Fremont, CA 94538-1625 | 2012-08-15 |
| 1972732600 | Christine Nguyen Elias | Internal Medicine | 2333 Mowry Ave, Ste 300, Fremont, CA 94538-1626 | 2009-07-02 |
| 1295952034 | Georgann Gervasi-lyttkens | Physician Assistant | 2333 Mowry Ave, Suite #220, Fremont, CA 94538-1625 | 2007-04-20 |
| 1760549109 | Sylvia Hanh Hoang | Family Medicine | 2333 Mowry Ave, Suite 300, Fremont, CA 94538 | 2007-01-03 |
| 1316024508 | Shakir Hyder | Internal Medicine | 2333 Mowry Ave, Suite 300, Fremont, CA 94538 | 2006-11-01 |
| 1407945777 | Seema Rikhy | Internal Medicine | 2333 Mowry Ave, Suite 300, Fremont, CA 94538 | 2006-10-12 |
| 1053401125 | Michelle Htun | Internal Medicine | 2333 Mowry Ave, Suite # 300, Fremont, CA 94538 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861766255 | East Bay Cardiology Inc | Internal Medicine | 39231 Liberty Street, Fremont, CA 94538-1501 | 2012-03-02 |
| 1396018289 | Rajesh S Suri | Internal Medicine | 39350 Civic Center Dr Ste 260, Fremont, CA 94538-2384 | 2012-02-23 |
| 1356499578 | Gurcharan Singh Reen | Internal Medicine | 1900 Mowry Ave Ste 101, Fremont, CA 94538-1722 | 2007-01-05 |
| 1326055658 | Sangeetha Balakrishnan | Internal Medicine | 2287 Mowry Ave Ste H-i, Fremont, CA 94538-1622 | 2006-08-01 |
| 1790700987 | Rajesh Sam Suri | Internal Medicine | 3155 Kearney St Ste 100, Fremont, CA 94538-2268 | 2006-07-12 |
| 1508827692 | Douglas M Guy | Internal Medicine | 426 E 22nd St, Fremont, NE 68025 | 2006-03-29 |
| 1356324966 | David K Berke | Internal Medicine | 3200 Kearney Street, Fremont, CA 94538-2299 | 2005-11-29 |
| 1912435173 | West Coast Medicine and Cardiology Inc | Internal Medicine | 3155 Kearney St Ste 100, Fremont, CA 94538-2268 | 2017-05-31 |
| 1376804567 | Catherine Dao | Internal Medicine | 2287 Mowry Ave, Suite H-i, Fremont, CA 94538-1622 | 2012-06-04 |
| 1811253115 | California Cardiology Associates Inc | Internal Medicine | 1900 Mowry Ave, Suite 309, Fremont, CA 94538-1722 | 2012-04-11 |
| Find all providers in FREMONT | ||||
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| 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.