DR. NATHAN DAVID CARLSON (M.D.) – Family Medicine Physician, NPI 1144212929

DR. NATHAN DAVID CARLSON (M.D.) is a healthcare provider. based in Fontana, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. A72948 (CA). The NPI Number for DR. NATHAN DAVID CARLSON (M.D.) is 1144212929

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. NATHAN DAVID CARLSON (M.D.)
NPI
1144212929
Phone
(888) 750-0036
Address
9985 SIERRA AVE
Enumeration Date
18 August 2005
Last Update Date
29 November 2021

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9094275000
Graduation Year
1999 (27 years ago)
PAC ID
3173681079
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20081022000047
Address ID
CA923356720FO9961XAVEX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

13,194 FAMILY PRACTICE in CA

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Provider Addresses for DR. NATHAN DAVID CARLSON (M.D.)

  • Sierra Avenue, Fontana, San Bernardino County, California, 92377, United States

    FONTANA, CA 923356720

    Phone: (888) 750-0036

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $146.

Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.

Last reported payment date: 2024-06-21 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($146).

Total Amount

$146

General + Research + Ownership

Payments

2

Total payment records

General Amount

$146

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081022000047IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92335)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

What number should I use to identify DR. NATHAN DAVID CARLSON (M.D.) for billing?
Administrative and clinical systems typically use NPI 1144212929 for DR. NATHAN DAVID CARLSON (M.D.).
Should I treat DR. NATHAN DAVID CARLSON (M.D.) as an active provider?
Patients and plans typically see DR. NATHAN DAVID CARLSON (M.D.) as active in the national extract.
What type of care does DR. NATHAN DAVID CARLSON (M.D.) provide?
DR. NATHAN DAVID CARLSON (M.D.)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. NATHAN DAVID CARLSON (M.D.) in Fontana, California?
For routing, start with Fontana, California for DR. NATHAN DAVID CARLSON (M.D.), then verify phone and hours locally.
Can I export DR. NATHAN DAVID CARLSON (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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