NPI
Mark Carroll
NPI 1861922965
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- LAc
- Type
- Individual
- Enumeration date
- 2017-06-13
- Last updated
- 2017-06-13
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Specialties
Licenses
- License CA
- AC11758
Location
- Practice location
- 255 Farmers Ln
- City
- Santa Rosa CA
- Postal code
- 95405-4721
- Phone
- (707) 477-5040
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Santa Rosa, CA. 8,117 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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