Healthcare Provider Details

I. General information

NPI: 1457520462
Provider Name (Legal Business Name): CHARLES FRANCIS CARPENTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2008
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2131 CAPITOL AVE SUITE 300
SACRAMENTO CA
95816-5755
US

IV. Provider business mailing address

2131 CAPITOL AVE SUITE 300
SACRAMENTO CA
95816-5755
US

V. Phone/Fax

Practice location:
  • Phone: 916-548-9514
  • Fax:
Mailing address:
  • Phone: 916-548-9514
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License NumberA83564
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberA83564
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: