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

Stephanie Carlson, MD

Individual provider Emergency Medicine Physician · NPI 1083147417

Stephanie Carlson, MD is an Emergency Medicine in Walnut Creek, California. Graduated from Ohio State University College of Medicine in 2017, 9 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
9
Trained at
Ohio State University College of Medicine
Licensed in
CA, OR
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1425 S Main St
Walnut Creek, CA 94596-5318
Phone: (925) 295-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1263 Weybridge Rd, Columbus, OH 43220-8104 — (541) 223-8044
  • 610 Nw 11th St, Hermiston, OR 97838-6601 — (541) 667-3400

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 182703 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 205573 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083147417
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 3, 2017
Last updated in NPPESJanuary 4, 2023
Certification dateJanuary 4, 2023
Mailing address330 S Overlook Dr, San Ramon, CA 94582-4544

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Walnut Creek