Active NPI
Charles Omondi Otieno, M.D.
- Emergency Medicine Physician
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A85874
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD2006-0790 | NM | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael S. Agron, M.D., Inc. | Emergency Medicine | Current | Accepting new patients |
| Valley Presbyterian Emergency Medical Associates | Emergency Medicine | Current | Accepting new patients |
| Em Alliance California, Apc | Emergency Medicine | Current | Accepting new patients |
| Los Robles Emergency Physicians Medical Group | Emergency Medicine | Current | 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.
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1376305755
-
- Emergency Medicine Physician
- Thousand Oaks, CA
- NPI 1417983552
-
- Emergency Medicine Physician
- Arcadia, CA
- NPI 1699716100
-
- Emergency Medicine Physician
- Van Nuys, CA
- NPI 1033133103
-
- Emergency Medicine Physician
- Burbank, CA
- NPI 1689636730
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Palmdale Regional Medical Center
- General Acute Care Hospital
- Palmdale, CA
- NPI 1508856535
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.