MEDICARE: CARL HERRICK CRITZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	G68421	CA
2	207ZC0500X	Cytopathology Physician	G68421	CA

General Provider Information

NPI Number	:	1740232107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARL HERRICK CRITZ MD

Provider Business Mailing Address
First Line	:	6001 NORRIS CANYON RD
Second Line	:
City	:	SAN RAMON
State	:	CA
Zip	:	94583-5400
Country	:	US
Telephone Number	:	925-275-8408
Fax Number	:	925-275-8362

Provider Business Practice Location Address
First Line	:	6001 NORRIS CANYON RD
Second Line	:
City	:	SAN RAMON
State	:	CA
Zip	:	94583-5400
Country	:	US
Telephone Number	:	925-275-8408
Fax Number	:	925-275-8362

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	09/11/2025

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