Carl Larusson, DPM
Podiatrist in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1013602010
StatusActive
Last updated in NPPESJul 21, 2026
Details
- NPI
- 1013602010
- Entity type
- Individual (NPI-1)
- Name
- Carl Larusson
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2023
- Certification date
- Jul 21, 2026
- Last updated
- Jul 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | E6252 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 211D00000X | Assistant, Podiatric | – | – |
Practice location
2281 Cleveland AveSanta Rosa, CA 95403-2905
Phone 707-544-3337
Mailing address
2281 Cleveland AveSanta Rosa, CA 95403-2905
Phone 707-544-3337
Other practice locations
169 Riverside Dr
Binghamton, NY 13905-4198
Binghamton, NY 13905-4198
Phone 607-798-6701
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All 18 Podiatrist providers in Santa Rosa · All 8,142 providers in Santa Rosa
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