Organization Active NPI

Charles M Maples

  • Family Medicine Physician
  • Los Alamitos, CA
National Provider Identifier
1073700159
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6903 Issued in CA
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.