Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063434207 Individual Practitioner Male Practitioner

Dr. Eric R Carlblom , MD

Specialist • Soquel, CA

Professional Overview & Biography Verified Profile Summary

Dr. Eric Carlblom, MD is a registered healthcare professional specializing in Specialist in Soquel, CA. Practice services are available at 2425 PORTER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2425 Porter St
Suite 6

Soquel, CA 950732444

Telephone 8314621500
Fax 8314621503
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Soquel, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Soquel, CA (6446 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA G65524

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1962698167 (CA)
Medicaid State Provider ID
00G655240 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Michelle Bakalarski , MA, LMFT

Marriage & Family Therapist

NPI 1053087429

Master of Arts, Licensed Marriage and Family Therapist

Ann Hines , LMFT

Marriage & Family Therapist

NPI 1104042787

Licensed Marriage and Family Therapist

Susan Johnson

Acupuncturist

NPI 1124154042
Dr. Jennifer Davis , MD

Psychiatry & Neurology - Psychiatry

NPI 1750584181

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 18, 2016

Registered at 2425 PORTER ST, SUITE 6, SOQUEL, CA 950732444 (Tel: 8314621500)

📍
Updated Business Mailing Address February 18, 2016

Registered at PO BOX 339, SOQUEL, CA 950730339 (Tel: 8314621500)

👤
Provider Name / Credentials Updated February 18, 2016

Recorded as ERIC CARLBLOM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2016

Specialist (License #G65524 in CA)

🟢
Initial NPI Registration & Enumeration July 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063434207
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2006
Last Update: February 18, 2016
Sole Proprietor: Yes

Mailing Address

Po Box 339

Soquel, CA 950730339

Phone: 8314621500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.