Active NPI
Nathaniel Charney, OD
- Optometrist
- Sacramento, CA
National Provider Identifier
1205441656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34646
- Practice address
- 4130 Truxel Rd Ste D
Sacramento, CA 95834-3760 - Phone
- (916) 928-8383
- NPI assigned
- Sep 12, 2020
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 34646 | CA | Primary |
Addresses
Primary practice location
4130 Truxel Rd Ste D
Sacramento, CA 95834-3760
Mailing address
4130 Truxel Rd
Ste D
Sacramento, CA 95834-3760
Phone (707) 260-5300
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34646 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Niam Phan OD an Optometry Corporation | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- El Dorado Hills, CA
- NPI 1619337110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1205441656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4130 TRUXEL RD",
"address_2": "STE D",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958343760",
"telephone_number": "707-260-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 TRUXEL RD STE D",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958343760",
"telephone_number": "916-928-8383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARNEY",
"first_name": "NATHANIEL",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-12",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "34646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.