Active NPI
Charles A Neumann X, DO
- Emergency Medicine Physician
- El Cerrito, CA
National Provider Identifier
1033186747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 20A4150
- Practice address
- 781 Balra Dr
El Cerrito, CA 94530-3302 - Phone
- (510) 525-7705
- NPI assigned
- Mar 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036-053128 | IL | |
| Emergency Medicine Physician | 207P00000X | 20A4150 | CA | Primary |
Addresses
Primary practice location
781 Balra Dr
El Cerrito, CA 94530-3302
Mailing address
781 Balra Dr
El Cerrito, CA 94530-3302
Phone (510) 525-7705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX41500 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A4150 | CA | MD | Emergency Medicine Physician |
| 036-053128 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central California Radiology Associates Inc | Past | Accepting new patients | |
| Sierra Rural Physicians, Inc. | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Visalia, CA
- NPI 1619343050
-
- Emergency Medicine Physician
- Mariposa, CA
- NPI 1699890905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354838400000",
"number": "1033186747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "781 BALRA DR",
"city": "EL CERRITO",
"state": "CA",
"postal_code": "945303302",
"telephone_number": "510-525-7705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "781 BALRA DR",
"city": "EL CERRITO",
"state": "CA",
"postal_code": "945303302",
"telephone_number": "510-525-7705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUMANN",
"first_name": "CHARLES",
"middle_name": "A",
"name_suffix": "X",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2012-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036-053128",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "20A4150",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX41500",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Cerrito, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.