Active NPI
Charles F Von Gunten, MD, PHD
- Hospice and Palliative Medicine (Internal Medicine) Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- G85243
- Practice address
- 4314 Middlesex Dr
San Diego, CA 92116-2139 - Phone
- (619) 607-9564
- NPI assigned
- Nov 27, 2006
- Last updated
- Aug 23, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G852430 | Medicaid | CA | |
| 0081409 | Medicaid | OH |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth Supportive Medical Specialists, a Medical Corporation | Hospice and Palliative Medicine | Current | Accepting new patients |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| The Elizabeth Hospice Inc | 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.
-
- Community Based Hospice Care Agency
- Escondido, CA
- NPI 1538168950
W-2 Managing Employee
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.
-
dba OhioHealth Physician Group, Inc
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Escondido, CA
- NPI 1154861979
-
dba OhioHealth Physician Group Inc
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Columbus, OH
- NPI 1265627301
-
dba OhioHealth Physician Group Inc
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.