Active NPI
Charles M Maples
- Family Medicine Physician
- Los Alamitos, CA
National Provider Identifier
1073700159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A6903
- Legal business name
- CHARLES M MAPLES
- Practice address
- 3771 Katella Ave
Suite 110
Los Alamitos, CA 90720-3108 - Phone
- (562) 430-6850
- Fax
- (562) 280-2882
- NPI assigned
- Oct 2, 2007
- Last updated
- Oct 9, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles M Maples, D.O.
- Title
- President/Provider
- Phone
- (562) 430-6850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A6903 | CA | Primary |
Addresses
Primary practice location
3771 Katella Ave
Suite 110
Los Alamitos, CA 90720-3108
Mailing address
3771 Katella Ave
Suite 110
Los Alamitos, CA 90720-3108
Phone (562) 430-6850
National Provider Directory
National Provider DirectoryLocations
3771 Katella Ave
Ste 110
Los Alamitos, CA 90720
Phone (562) 296-5232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539043200000",
"number": "1073700159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3771 KATELLA AVE",
"address_2": "SUITE 110",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907203108",
"telephone_number": "562-430-6850",
"fax_number": "562-280-2882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3771 KATELLA AVE",
"address_2": "SUITE 110",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907203108",
"telephone_number": "562-430-6850",
"fax_number": "562-280-2882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES M MAPLES",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-02",
"last_updated": "2018-10-09",
"status": "A",
"authorized_official_last_name": "MAPLES",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT/PROVIDER",
"authorized_official_telephone_number": "562-430-6850",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A6903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.