Steven Tudor Charles, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C 28991 Issued in CA

Practice address

2200 Pacific Coast Hwy
Hsuite 304a
Hermosa Beach, CA 90254-2702

Phone

(310) 529-9307

Fax

(626) 572-2120

NPI assigned

Sep 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1225225998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N SEPULVEDA BLVD",
            "address_2": "SUITE 201",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665963",
            "telephone_number": "310-529-9307",
            "fax_number": "626-572-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PACIFIC COAST HWY",
            "address_2": "HSUITE 304A",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542702",
            "telephone_number": "310-529-9307",
            "fax_number": "626-572-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "STEVEN",
        "middle_name": "TUDOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C 28991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter David Carter, MFT
• Casa Healthcare Services LLC
• Delque Dadisi Chalk
• Catherine Linnea Chambliss, MFT
• Chambliss& Associates, MFT Inc.
• Thomas J Chase, PA
• Cheree Rosalind Chavis
• Chelsea Fidai MD Inc
• Stephen Chen, PT, DPT
• Lauren A Cheng

• Psychiatry Physician in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.