Charles Warren Bartleson V

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

295130 Issued in CA

Practice address

1005 Pacific Coast Hwy
Seal Beach, CA 90740-6214

Phone

(562) 598-5500

NPI assigned

Aug 21, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Xcelerate Physical Therapy Inc.

  • Physical Therapist
  • Thousand Oaks, CA
  • NPI 1306814124
  NPD

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1033699863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W 28TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907316656",
            "telephone_number": "310-982-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 PACIFIC COAST HWY",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406214",
            "telephone_number": "562-598-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Willow Rd",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940253653",
            "country_code": "US",
            "telephone_number": "866-839-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTLESON",
        "first_name": "CHARLES",
        "middle_name": "WARREN",
        "name_suffix": "V",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-21",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bach Xuan Nguyen Dental Corporation
• Badday Medex Inc
• Taraneh Bahreini, PHARMACIST
• Karol Ann Bailey, PH.D.
• Bruce Ball, PHARM.D.
• Shariar Z Bavafa, MD
• Beach Communities Physical Therapy, Inc.
• Beach Dermatology
• Beachcat Family Counseling Professional Corporation
• Robert Bedell, P.T.

• All providers in Seal Beach, CA
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.