Individual provider Active NPI

Charles Howard Edwards, M.D.

  • Pediatrics Physician
  • Salinas, CA
National Provider Identifier
1184665200
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G81670 Issued in CA
Practice address
1441 Constitution Blvd
BLDG. 200, Floor One, Suite 101
Salinas, CA 93906-3100
Phone
(831) 755-4124
Fax
(831) 759-6595
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G81670 CA Primary

Addresses

Primary practice location

1441 Constitution Blvd
BLDG. 200, Floor One, Suite 101
Salinas, CA 93906-3100

Mailing address

1615 Bunker Hill Way
Suite 100
Salinas, CA 93906-6013
Phone (831) 769-1304

Other identifiers 1

IdentifierTypeStateIssuer
FHC70126FMedicaidCA

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
I20050616001222 CA Practitioner - Pediatric Medicine 9133163413 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G81670CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Monterey Pediatrics Current Accepting new patients
LPCH Medical Group Div of Lucile Pediatrics CurrentSince May 17, 2018 Accepting new patients
County of Monterey CurrentSince Jul 18, 2009 Accepting new patients
City & County of San Francisco Past Accepting new patients
Monterey County Behavioral Health Division Past Accepting new patients
County of Monterey Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

1441 Constitution Blvd
Bldg 151
Salinas, CA 93906
Phone (831) 755-8640

1441 Constitution Blvd
Ste 101
Salinas, CA 93906
Phone (831) 755-4124

559 E Alisal St
Ste 201
Salinas, CA 93905
Phone (831) 769-8800

1580 Valencia St
Ste 506
San Francisco, CA 94110
Phone (415) 641-6500

Interoperability endpoints

  • Direct secure messaging: cedwards574528@direct.ochin.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1184665200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 BUNKER HILL WAY",
            "address_2": "SUITE 100",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939066013",
            "telephone_number": "831-769-1304",
            "fax_number": "831-757-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 CONSTITUTION BLVD",
            "address_2": "BLDG. 200, FLOOR ONE, SUITE 101",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063100",
            "telephone_number": "831-755-4124",
            "fax_number": "831-759-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CHARLES",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G81670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70126F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.