MISS CHARLOTTE MARY CARLSON (NPI# 1134446875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134446875 |
| Entity Type | Individual |
| Full Name | MISS CHARLOTTE MARY CARLSON |
| Credential | M.D. |
| Practice Address |
2455 Summerfield Rd Santa Rosa CA 95405-7815 |
| Practice Telephone | 7073082815 |
| Practice Fax Number | 7075735439 |
| Mailing Telephone | 7073082815 |
| Mailing Fax Number | 7075735439 |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2020-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
1009320 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE MEDICAL LICENSE | A119269 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 131 Stony Cir Ste 1600, Santa Rosa, CA 954019520 | 7073082815 | 7075735439 |
| 4700 Hoen Ave, Santa Rosa, CA 954057824 | 7073082815 | 7075735439 |
| 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 |
| 1598056426 | Charlotte Santiago Carlson | Physician Assistant | 1850 Redondo Ave, Suite 108, Signal Hill, CA 90755-1251 | 2011-04-26 |
| Street Address |
2455 SUMMERFIELD RD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-7815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538167226 | Wendy A Williams | Physician Assistant | 2455 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2005-07-07 |
| 1538688858 | Christine E Silano | Nurse Practitioner | 2455 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-18 |
| 1760764641 | Julia L. Leonardi-holzapfel | Social Worker | 2455 Summerfield Rd, Santa Rosa, CA 95405 | 2011-09-15 |
| 1598889636 | Sutter Medical Group of The Redwoods | Family Medicine | 2455 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2007-03-16 |
| 1033201587 | Gary Nichols | Internal Medicine | 2455 Summerfield Rd, Santa Rosa, CA 95405 | 2006-09-29 |
| 1144281635 | Gary Neal Furness | Family Medicine | 2455 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2006-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1225323173 | Stephen Ira Chavin | Internal Medicine | 4722 Foulger Dr, Santa Rosa, CA 95405-7910 | 2011-06-17 |
| 1760481204 | Northern California Medical Assoc Inc | Internal Medicine | 4702 Hoen Ave, Santa Rosa, CA 95405-7824 | 2005-07-18 |
| 1174920771 | Ida Jahed, Md, Inc. | Internal Medicine | 5555 Montgomery Dr, Santa Rosa, CA 95409-8846 | 2014-11-25 |
| 1386803559 | Waseem Ahmed | Internal Medicine | 3841 Brickway Blvd, Santa Rosa, CA 95403-8226 | 2008-06-03 |
| 1275714495 | Seema S Rao | Internal Medicine | 3536 Mendocino Ave Ste 300, Santa Rosa, CA 95403-3634 | 2007-11-15 |
| 1154443117 | Wynnelena Canlas Canio | Internal Medicine | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2007-04-03 |
| 1821077231 | Northern California Medical Assoc Inc | Internal Medicine | 5555 Montgomery Dr, Santa Rosa, CA 95409-8846 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421480 | Healthier Lifestyle Medical Group | Internal Medicine | 1412 W Glenoaks Blvd Ste B, Glendale, CA 91201-1990 | 2020-06-10 |
| 1972065704 | Joseph A Habis Md | Internal Medicine | 359 Bel Marin Keys Blvd Ste 22, Novato, CA 94949-5637 | 2019-04-01 |
| 1801363858 | Hgrt Medical Group Inc | Internal Medicine | 31741 Rancho Hill Viejo Road, San Juan Capistrano, CA 92675 | 2018-10-29 |
| 1972081412 | Ahra Cho, M.d., Inc | Internal Medicine | 2727 W Olympic Blvd Ste 205, Los Angeles, CA 90006-2640 | 2018-08-06 |
| 1013401975 | Robert H Moon Md, Inc | Internal Medicine | 181 Rea Ave, El Cajon, CA 92020-3985 | 2018-06-14 |
| 1821587585 | Aost Healthcare Services | Internal Medicine | 10990 Lower Azusa Rd Ste 4, El Monte, CA 91731-1353 | 2018-05-08 |
| 1396233185 | Caroline Petrossian | Internal Medicine | 1880 Century Park East Suite 711, Century City, CA 90067 | 2018-04-26 |
| 1558868927 | Gps Physician Group of California PC | Internal Medicine | American River Center, 3900 Garfield Ave, Carmichael, CA 95608 | 2018-04-11 |
| 1427588417 | Vivacitas Medical Group PC | Internal Medicine | 1383 N Mcdowell Blvd Ste 110, Petaluma, CA 94954-1190 | 2017-06-13 |
| 1144616590 | Lindsey Merrihew Haddock | Internal Medicine | 4150 Clement St Bldg 1306b, San Francisco, CA 94121 | 2015-04-13 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
Please comment or provide details below to improve the information on MISS CHARLOTTE MARY 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.