Individual provider Active NPI

Charles F Von Gunten, MD, PHD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • San Diego, CA
National Provider Identifier
1215003843
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
G85243 Issued in CA
Practice address
4314 Middlesex Dr
San Diego, CA 92116-2139
Phone
(619) 607-9564
NPI assigned
Nov 27, 2006
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X G85243 CA Primary

Addresses

Primary practice location

4314 Middlesex Dr
San Diego, CA 92116-2139

Mailing address

4314 Middlesex Dr
San Diego, CA 92116-2139
Phone (619) 607-9564

Other identifiers 2

IdentifierTypeStateIssuer
00G852430MedicaidCA
0081409MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130412000240 OH Practitioner - Hospice/Palliative Care 2466592852 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Supportive Medical Specialists, a Medical Corporation Hospice and Palliative Medicine CurrentSince Aug 13, 2023 Accepting new patients
Ohiohealth Corporation CurrentSince Mar 1, 2013 Accepting new patients
Ohiohealth Corporation CurrentSince Mar 1, 2013 Accepting new patients
Ohiohealth Corporation Current Accepting new patients

Locations

800 W Valley Pkwy
Ste 100
Escondido, CA 92025
Phone (800) 797-2050

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

800 McConnell Dr
Columbus, OH 43214
Phone (614) 566-5019

Dept L3652
Columbus, OH 43260

5350 Frantz Rd
Dublin, OH 43016

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Elizabeth Hospice IncEscondido, CA, CCN 051528 Hospice W-2 Managing Employee Dec 11, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1215003843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 MIDDLESEX DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162139",
            "telephone_number": "619-607-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 MIDDLESEX DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162139",
            "telephone_number": "619-607-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON GUNTEN",
        "first_name": "CHARLES",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "G85243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G852430",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0081409",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.