Individual provider Active NPI

Charles Omondi Otieno, M.D.

  • Emergency Medicine Physician
  • Pasadena, CA
National Provider Identifier
1326097338
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A85874 Issued in CA
Practice address
960 E Green St. Thatcher Medical Center
Suite L10
Pasadena, CA 91106
Phone
(626) 486-2674
Fax
(626) 486-2674
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A85874 CA Primary
Emergency Medicine Physician 207P00000X MD2006-0790 NM

Addresses

Primary practice location

960 E Green St. Thatcher Medical Center
Suite L10
Pasadena, CA 91106

Mailing address

2034 Los Amigos St
La Canada, CA 91011-1346
Phone (323) 459-7089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100603000833 CA Practitioner - Emergency Medicine 1658323290 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Em Alliance California ApcGroup PAC ID 1951749894, 68 clinicians

Practice addresses (Care Compare)

36485 Inland Valley Dr
Wildomar, CA 92595-9681
Phone (951) 677-1111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2006-0790NMMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S. Agron, M.D., Inc. Emergency Medicine CurrentSince Sep 8, 2019 Accepting new patients
Valley Presbyterian Emergency Medical Associates Emergency Medicine CurrentSince May 1, 2011 Accepting new patients
Em Alliance California, Apc Emergency Medicine CurrentSince Jun 15, 2024 Accepting new patients
Los Robles Emergency Physicians Medical Group Emergency Medicine CurrentSince Dec 1, 2012 Accepting new patients
Burbank Emergency Medical Group Inc Emergency Medicine Past Accepting new patients

Locations

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

L4421
Columbus, OH 43260

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1326097338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 LOS AMIGOS ST",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910111346",
            "telephone_number": "323-459-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E GREEN ST. THATCHER MEDICAL CENTER",
            "address_2": "SUITE L10",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91106",
            "telephone_number": "626-486-2674",
            "fax_number": "626-486-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTIENO",
        "first_name": "CHARLES",
        "middle_name": "OMONDI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A85874",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "MD2006-0790",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.