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

Mariah Carroll, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1275096059

Mariah Carroll, DO is a Student in an Organized Health Care Education/Training Program in San Jose, California. Works from 2 locations. Licensed in California and New Jersey.

Licensed in
CA, NJ
In the registry since
2019
Specialties on file
2
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.

See every abbreviation used in this directory →

Practice location Address checks out

6620 Via Del Oro
San Jose, CA 95119-1392
Phone: (408) 972-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1505 W Sherman Ave, Vineland, NJ 08360-7059 — (856) 641-8000

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 20A-19828 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NJ)

Record details

NPI number1275096059
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 9, 2019
Last updated in NPPESDecember 13, 2022
Certification dateDecember 13, 2022

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