Charles John Sarosy, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G64236 Issued in CA

Practice address

8881 Fletcher Parkway/ Dr. Charles Sarosy
Suite241
La Mesa, CA 91942

Phone

(619) 697-1325

Fax

(619) 697-2981

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emergency and Acute Care Medical Corporation

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1437103942
  Medicare reassignment NPD
• Helix Surgery Center

  • Ambulatory Surgical Clinic/Center
  • La Mesa, CA
  • NPI 1619156924
  NPD (past) Authorized official
• Ervin S. Wheeler, M.D., a Medical Corporation

  • Plastic Surgery Physician
  • La Mesa, CA
  • NPI 1538301882
  NPD (past)
• Vein & Liposculpture Center

  • Specialist
  • La Mesa, CA
  • NPI 1376783183
  NPD (past)
• Kamran Azad, MD P.a.

  • Plastic Surgery Physician
  • Winter Park, FL
  • NPI 1750752614
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227225600000",
    "number": "1013924596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PARKWAY/ DR. CHARLES SAROSY",
            "address_2": "SUITE241",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "91942",
            "telephone_number": "619-697-1325",
            "fax_number": "619-697-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PARKWAY/ DR. CHARLES SAROSY",
            "address_2": "SUITE241",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "91942",
            "telephone_number": "619-697-1325",
            "fax_number": "619-697-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAROSY",
        "first_name": "CHARLES",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G64236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G642360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Leonora Santos
• Kimberly Pino Santos
• Nicole Santos, NP
• Sarah E Stanton MD Inc
• Sarah T. Silverstein, DMD, MPH, Inc.
• Karlene Sarrisin
• Timothy Sartori, FNP-C, PMHNP-BC
• Gurvijay Sasan, M.D.
• Manveen Bassi Sasan, M.D.
• Janina Scarlet

• Surgery Physician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.