Individual provider Active NPI

Charles Michael Wright, M.D.

  • Cardiovascular Disease Physician
  • La Jolla, CA
National Provider Identifier
1104861459
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G 58919 Issued in CA
Practice address
9850 Genesee Ave
Suite 780
La Jolla, CA 92037-1232
Phone
(858) 450-3388
Fax
(858) 450-3157
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G 58919 CA Primary

Addresses

Primary practice location

9850 Genesee Ave
Suite 780
La Jolla, CA 92037-1232

Mailing address

9888 Genesee Ave
Suite 780
La Jolla, CA 92037-1205
Phone (858) 450-3388

Other identifiers 16

IdentifierTypeStateIssuer
1104861459OtherMANEIGHBORHOOD HEALTH PLAN
1104861459OtherMAHEALTH NET PLAN
1104861459OtherMAUNICARE
11787037OtherMACAQH
2146711MedicaidMA
AA107087OtherMAHARVARD PILGRIM
J42564OtherMABLUE CROSS BLUE SHIELD
1104861459OtherMABOSTON MEDICAL CENTER
1104861459OtherMAMEDICARE ID
1104861459OtherMATUFTS HEALTH PLAN
1104861459OtherMAGREAT WEST HEALTHCARE
1104861459OtherMANETWORK HEALTH
1104861459OtherMAHEALTH NET/ TRICARE NORTH
1104861459OtherMACIGNA
1104861459OtherMAMEDICARE ID, TYPE UNSPECIFIED
1104861459OtherMAUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050422000999 CA Practitioner - Cardiovascular Disease (Cardiology) 5799723342 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Icahn School of Medicine at Mount Sinai, 1981
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Coastal Cardiovascular Care IncGroup PAC ID 8921341645, 5 clinicians
Scripps Cardiology Medical Group, Inc.Group PAC ID 3971547951, 18 clinicians
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

700 Garden View CT
Suite 204
Encinitas, CA 92024-2478
Phone (760) 230-2256

9888 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 699-1958

Hospital & facility affiliations

  • Scripps Memorial Hospital la Jolla Hospital, La Jolla, CA, CCN 050324

Merit-based Incentive Payment System (MIPS)

Final score
92.17 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
73.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
233687MAMDPsychiatric/Mental Health Registered Nurse
58919CAMDPharmacist
G 58919CAMDCardiovascular Disease Physician

Practice roles (8 of 9)

OrganizationSpecialtyStatusNew patients
Monica Perlman MD Inc. CurrentSince Sep 24, 2020 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Jul 1, 2015 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Cardiology Medical Group, Inc. Cardiovascular Disease CurrentSince Jul 18, 2009 Accepting new patients
Coastal Cardiovascular Care Inc CurrentSince Aug 11, 2025 Accepting new patients
San Diego Ultrascan Medical Group Cardiovascular Disease PastSince Apr 20, 1999 Accepting new patients
San Diego Cardiovascular Associates Medical Group Inc Cardiovascular Disease Past Accepting new patients
IHS Radiology Medical Group, Inc. PastSince Dec 1, 2023 Accepting new patients

Locations

700 Garden View Ct
Ste 204
Encinitas, CA 92024
Phone (760) 230-2256

9888 Genesee Ave
Ste 780
La Jolla, CA 92037

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

9850 Genesee Ave
Ste 320
La Jolla, CA 92037
Phone (858) 864-9800

9888 Genesee Ave
#780
La Jolla, CA 92037

9850 Genesee Ave
Ste 870
La Jolla, CA 92037
Phone (760) 452-6334

3737 Moraga Ave
Ste B103
San Diego, CA 92117
Phone (858) 799-0855

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: cwright43035@scrippshlth.medalliesdirect.net
  • Direct secure messaging: michael.wright.1@17259.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1104861459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9888 GENESEE AVE",
            "address_2": "SUITE 780",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371205",
            "telephone_number": "858-450-3388",
            "fax_number": "858-450-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "SUITE 780",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371232",
            "telephone_number": "858-450-3388",
            "fax_number": "858-450-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "CHARLES",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G 58919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "1104861459",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET PLAN",
            "identifier": "1104861459",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "1104861459",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11787037",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2146711",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA107087",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J42564",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOSTON MEDICAL CENTER",
            "identifier": "1104861459",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "1104861459",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "1104861459",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST HEALTHCARE",
            "identifier": "1104861459",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "1104861459",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET/ TRICARE NORTH",
            "identifier": "1104861459",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1104861459",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID, TYPE UNSPECIFIED",
            "identifier": "1104861459",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1104861459",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.