Individual provider Active NPI

Charles Fred Morgan III

  • Rehabilitation Counselor
  • San Diego, CA
National Provider Identifier
1215568852
Registry record updated Feb 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation CounselorTaxonomy code 225C00000X
Practice address
8685 Rio San Diego Dr Apt 4415
San Diego, CA 92108-6561
Phone
(219) 671-2107
NPI assigned
Feb 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X Primary

Addresses

Primary practice location

8685 Rio San Diego Dr Apt 4415
San Diego, CA 92108-6561

Mailing address

8685 Rio San Diego Dr Apt 4415
San Diego, CA 92108-6561
Phone (219) 671-2107

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL charles.morgan3@va..gov Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1580601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580601600000",
    "number": "1215568852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8685 RIO SAN DIEGO DR APT 4415",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921086561",
            "telephone_number": "219-671-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8685 RIO SAN DIEGO DR APT 4415",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921086561",
            "telephone_number": "219-671-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "CHARLES",
        "middle_name": "FRED",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-02",
        "last_updated": "2020-02-02",
        "certification_date": "2020-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "charles.morgan3@va..gov",
            "affiliation": "N",
            "endpointDescription": "Home address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "San Diego",
            "address_1": "8685 Rio San Diego Dr Apt 4415",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921086561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.