CARL J CARLSON MD – NPI #1508075540
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

CARL J CARLSON MD is a provider located in FREMONT, CA. NPPES has assigned the NPI number 1508075540 to CARL J CARLSON MD on May 22, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 17 years ago on Jun 22, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARL J CARLSON MD below.

NPI Profile for
CARL J CARLSON MD

NPI Number
1508075540
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CARL J CARLSON MD
Primary location
1895 MOWRY AVE
SUITE #100
FREMONT, CA 94538-1737
Phone: (510) 792-2012 Fax: (510) 792-7986
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CATHERINE CARLSON
OFFICE MANAGER
Phone: (510) 792-2012
Updated
Identifiers

Identifiers for CARL J CARLSON MD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUECROSS AND BLUESHIELDCAZZZ26021Z
OTHERHILL PHYSICIANSCA000169
MEDICAIDCA00G292950
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)		 CA G29295

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.