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

Spencer Carlson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1306468186

Spencer Carlson is a Student in an Organized Health Care Education/Training Program in San Rafael, California. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1330 Lincoln Ave Ste 201
San Rafael, CA 94901-2142
Phone: (415) 459-5999
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1306468186
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 14, 2020
Last updated in NPPESMay 14, 2020
Certification dateMay 14, 2020
Mailing address2430 Bush St, San Francisco, CA 94115-3106

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