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

Mr. Craig John Carbonniere Sr., PA

Individual provider Physician Assistant · NPI 1063578110

Mr. Craig John Carbonniere Sr., PA is a Physician Assistant in Lakewood, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5203 Lakewood Blvd
Lakewood, CA 90712-2438
Phone: (562) 633-2273
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA10492 (CA)

Record details

NPI number1063578110
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedDecember 30, 2006
Last updated in NPPESJuly 15, 2015

Other providers in Lakewood