CHARLOTTE SANTIAGO CARLSON (NPI# 1598056426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598056426 |
Entity Type | Individual |
Full Name | CHARLOTTE SANTIAGO CARLSON |
Practice Address |
1850 Redondo Ave Suite 108 Signal Hill CA 90755-1251 |
Mailing Address |
24035 Ocean Ave #18 Torrance CA 90505-6433 |
Practice Telephone | 5624982131 |
Enumeration Date | 2011-04-26 |
Last Update Date | 2011-04-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316267156 | Charlotte Rose Carlson | Counselor | 702 2nd Ave Se, Sidney, MT 59270-4915 | 2010-06-03 |
1023078474 | Charlotte A Carlson | Counselor | 100 S University Ave, Suite 200, Little Rock, AR 72205-5213 | 2006-03-27 |
1134446875 | Charlotte Mary Carlson | Internal Medicine | 2455 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2010-04-20 |
Street Address |
1850 REDONDO AVE SUITE 108 |
City | SIGNAL HILL |
State | CA |
Zip Code | 90755-1251 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245264910 | Sharam Samson Yashar | Dermatology | 1850 Redondo Ave, Suite 108, Signal Hill, CA 90755-1251 | 2006-07-10 |
1104991603 | Dermatology Associates of Southern California, Inc | Dermatology | 1850 Redondo Ave, Suite 108, Signal Hill, CA 90755-1251 | 2006-11-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790267136 | Esther Guerrero De Shepphard | Occupational Therapy Assistant | 2726 E Wall Street, Signal Hill, CA 90755 | 2018-09-01 |
1285150565 | Tricia Amantia | Counselor | 2248 Obisbo Ave, Suite 202, Signal Hill, CA 90755 | 2017-08-17 |
1477922102 | Vanessa Domush | Nurse Practitioner | 845 E. Willow St, Signal Hill, CA 90755 | 2015-09-23 |
1558642637 | Warren Kim | Social Worker | 845 East Willow Street, Signal Hill, CA 90755 | 2011-09-02 |
1730228354 | Tsai, Hsiao & Loo Dental Corporation | Dentist | 1600 E. Hill St, Signal Hill, CA 90755 | 2007-02-06 |
1518039726 | Ayman Aljabban Dental Corporation | Dentist | 1830 E Willow St, Signal Hill, CA 90755 | 2006-11-14 |
1164532768 | Costco Wholesale Corporation | Pharmacy | 2200 E Willow St, Signal Hill, CA 90755 | 2006-08-30 |
1578510624 | Long Beach Memorial Medical Center | Home Health | 695 E 27th St, Long Beach, CA 90755 | 2006-05-27 |
1073569554 | Prosthetic & Orthotic Group, Inc | Prosthetic/Orthotic Supplier | 2669 Myrtle Ave, Ste 101, Signal Hill, CA 90755 | 2006-05-26 |
1619416898 | Carrie Hoopfer | Pharmacist | 845 East Willow Street, Signal Hill, CA 90755 | 2017-02-21 |
Find all providers in zip 90755 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
Find all providers with the same taxonomy |
City | SIGNAL HILL |
Zip Code | 90755 |
Please comment or provide details below to improve the information on CHARLOTTE SANTIAGO CARLSON.
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.