Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Rock Carlson Jr., DO

Individual provider Psychiatry Physician · NPI 1376077826

Charles Rock Carlson Jr., DO is a Psychiatry in Roseville, California. Graduated from Touro Un Col of Osteopathic Medicine, Henderson in 2017, 9 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Ohio.

Years since qualifying
9
Trained at
Touro Un Col of Osteopathic Medicine, Henderson
Licensed in
CA, OH
In the registry since
2017
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1660 E Roseville Pkwy Ste 100
Roseville, CA 95661-3988
Phone: (916) 973-5300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 11100 Euclid Ave, Cleveland, OH 44106-1716 — (216) 844-1000
  • 7232 Justin Way, Mentor, OH 44060-4881 — (440) 578-8200

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 20A20898 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Psychiatry Physician Taxonomy 2084P0800X · Licence 34.013717 (OH)

Record details

NPI number1376077826
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 11, 2017
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolTOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Graduated 2017 (9 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Roseville