Active NPI
Rambod Charepoo, M.D.
- Plastic Surgery Physician
- La Jolla, CA
National Provider Identifier
1205148574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- A-152206
- Practice address
- 9888 Genesee Ave
La Jolla, CA 92037-1205 - Phone
- (858) 626-4123
- NPI assigned
- Jul 2, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | A-152206 | CA | Primary |
Addresses
Primary practice location
9888 Genesee Ave
La Jolla, CA 92037-1205
Mailing address
11225 Lee Way Apt 16113
San Diego, CA 92126-3081
Phone (770) 842-8798
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36334 | SC | MD | Pharmacist |
| A-152206 | CA | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522195200000",
"number": "1205148574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11225 LEE WAY APT 16113",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921263081",
"telephone_number": "770-842-8798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9888 GENESEE AVE",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371205",
"telephone_number": "858-626-4123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAREPOO",
"first_name": "RAMBOD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-02",
"last_updated": "2018-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A-152206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.