Active NPI
Charles R Stevens M.D, Apc
- Pain Medicine (Anesthesiology) Physician
- El Centro, CA
National Provider Identifier
1104018159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- CHARLES R STEVENS M.D, APC
- Practice address
- 1665 S Imperial Ave Ste D
El Centro, CA 92243-4247 - Phone
- (760) 482-0212
- Fax
- (760) 482-0166
- NPI assigned
- Aug 14, 2007
- 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
- Mrs. Celia A Zayas
- Title
- Office Manager
- Phone
- (760) 482-0212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
1665 S Imperial Ave Ste D
El Centro, CA 92243-4247
Mailing address
1665 S Imperial Ave Ste D
El Centro, CA 92243-4247
Phone (760) 482-0212
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A104563 | Other | CA | MEDICAL LICENSE |
| BH832 | Other | CA | MEDICARE |
Other names 1
- Advanced Pain Associates, A.P.C.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1103836 | Advanced Pain Associates | Certificate of waiver | Jul 8, 2028 |
National Provider Directory
National Provider DirectoryNetworks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- El Centro, CA
- NPI 1003001363
-
- Medical Physician Assistant
- El Centro, CA
- NPI 1316323736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675641600000",
"number": "1104018159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1665 S IMPERIAL AVE STE D",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922434247",
"telephone_number": "760-482-0212",
"fax_number": "760-482-0166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1665 S IMPERIAL AVE STE D",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922434247",
"telephone_number": "760-482-0212",
"fax_number": "760-482-0166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES R STEVENS M.D, APC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-14",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A",
"authorized_official_last_name": "ZAYAS",
"authorized_official_first_name": "CELIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "760-482-0212",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "A104563",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "BH832",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Pain Associates, A.P.C.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.