Organization Active NPI

M. Arthur Charles, M.D.

  • Research Study Specialist
  • Tustin, CA
National Provider Identifier
1316052012
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Study SpecialistTaxonomy code 1744R1102X
License
G22463 Issued in CA
Legal business name
M. ARTHUR CHARLES, M.D.
Practice address
2492 Walnut Ave Ste 130
Tustin, CA 92780-6953
Phone
(714) 734-7944
Fax
(714) 734-7945
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Christy A Grefe
Title
Billing Clerk
Phone
(714) 894-6850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Research Study SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1744R1102X G22463 CA Primary

Addresses

Primary practice location

2492 Walnut Ave Ste 130
Tustin, CA 92780-6953

Mailing address

2492 Walnut Ave Ste 130
Tustin, CA 92780-6953
Phone (714) 734-7944

Other names 1

  • DIABETES RESEARCH CENTER MEDICAL CLINIC, INC Doing business as

National Provider Directory

National Provider Directory

Locations

2492 Walnut Ave
Ste 130
Tustin, CA 92780
Phone (714) 734-7944

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316052012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2492 WALNUT AVE STE 130",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806953",
            "telephone_number": "714-734-7944",
            "fax_number": "714-734-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2492 WALNUT AVE STE 130",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806953",
            "telephone_number": "714-734-7944",
            "fax_number": "714-734-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. ARTHUR CHARLES, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREFE",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "714-894-6850",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist, Research Study",
            "state": "CA",
            "license": "G22463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIABETES RESEARCH CENTER MEDICAL CLINIC, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.