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

Sungjoon Carlson, PA-C

Individual provider Physician Assistant · NPI 1114474970

Sungjoon Carlson, PA-C is a Physician Assistant in Scottsdale, Arizona. Works from 2 locations. Licensed in Arizona, California, Indiana and Nevada.

Licensed in
AZ, CA, IN, NV
In the registry since
2016
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone: (480) 301-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 Parnassus Ave Fl 5, San Francisco, CA 94143-2202 — (415) 353-1616

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10738 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence PA55487 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 10002114A (IN)
Physician Assistant Taxonomy 363A00000X · Licence PA1834 (NV)

Record details

NPI number1114474970
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 8, 2016
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

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