NPIMap

Individual provider Active NPI

Charles John De Mesa, D.O.

  • Anesthesiology Physician
  • Sacramento, CA
National Provider Identifier
1396064408
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A13238 Issued in CA
Practice address
4860 Y St Ste 3020
Sacramento, CA 95817-2307
Phone
(916) 734-7246
Fax
(916) 734-5033
NPI assigned
May 28, 2010
Last updated
Sep 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 20A13238 CA Primary

Addresses

Primary practice location

4860 Y St Ste 3020
Sacramento, CA 95817-2307

Mailing address

4860 Y St Ste 3020
Sacramento, CA 95817-2307
Phone (916) 734-7246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150928002850 CA Practitioner - Pain ManagementPractitioner - Anesthesiology 5799093506 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alberto Panero DO IncGroup PAC ID 8729208251, 2 clinicians

Practice addresses (Care Compare)

2277 Fair Oaks Blvd
Suite 415
Sacramento, CA 95825-5500
Phone (916) 418-4442

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
84.12
Promoting interoperability
100
Improvement activities
40
Cost
74.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A13238CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Jul 22, 2017 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Alberto Panero DO Inc CurrentSince Dec 6, 2024 Accepting new patients
Regents of the Univ of Ca CurrentSince Aug 9, 2015 Accepting new patients
Regents of the Univ of Ca CurrentSince Aug 9, 2015 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California CurrentSince Jul 22, 2017 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Essent PRMC LP Anesthesiology Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

271 Turn Pike Dr
Folsom, CA 95630
Phone (916) 985-9200

6049 Douglas Blvd
Ste 5
Granite Bay, CA 95746
Phone (916) 418-4442

550 W Ranch View Dr
Rocklin, CA 95765
Phone (916) 295-5700

2277 Fair Oaks Blvd
Ste 415
Sacramento, CA 95825
Phone (916) 418-4442

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

2400 Del Paso Rd
Ste 145
Sacramento, CA 95834
Phone (916) 928-3940

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4860 Y St
Ste 2700
Sacramento, CA 95817
Phone (916) 734-6688

4860 Y St
Ste 3020
Sacramento, CA 95817
Phone (916) 734-6688

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700

Interoperability endpoints

  • Direct secure messaging: cdemesa315156@hisp.ehr.sutterhealth.org

Organizations & group practices 10

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 3

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": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1396064408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 3020",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-7246",
            "fax_number": "916-734-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 3020",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-7246",
            "fax_number": "916-734-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MESA",
        "first_name": "CHARLES",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-28",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A13238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.