Individual provider Active NPI

Charles B. Cauldwell, MD

  • Anesthesiology Physician
  • San Francisco, CA
National Provider Identifier
1245296177
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G62215 Issued in CA
Practice address
521 Parnassus Ave
C 450
San Francisco, CA 94143-0648
Phone
(415) 476-0836
Fax
(415) 476-9516
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G62215 CA Primary
Pediatrics Physician 208000000X G62215 CA

Addresses

Primary practice location

521 Parnassus Ave
C 450
San Francisco, CA 94143-0648

Mailing address

521 Parnassus Ave
C 450
San Francisco, CA 94143-0648
Phone (415) 476-0836

Other identifiers 1

IdentifierTypeStateIssuer
0G6221500MedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G62215CAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1245296177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 PARNASSUS AVE",
            "address_2": "C 450",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430648",
            "telephone_number": "415-476-0836",
            "fax_number": "415-476-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 PARNASSUS AVE",
            "address_2": "C 450",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430648",
            "telephone_number": "415-476-0836",
            "fax_number": "415-476-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAULDWELL",
        "first_name": "CHARLES",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G62215",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G62215",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0G6221500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.