Charles Wayne Portney, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G320840 Issued in CA

Practice address

2336 Santa Monica Blvd
#100
Santa Monica, CA 90404-2095

Phone

(310) 828-7870

Fax

(310) 828-9790

NPI assigned

Dec 13, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 12, 2014 through Jul 12, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396720413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 SANTA MONICA BLVD",
            "address_2": "#100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042095",
            "telephone_number": "310-828-7870",
            "fax_number": "310-828-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 SANTA MONICA BLVD",
            "address_2": "#100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042095",
            "telephone_number": "310-828-7870",
            "fax_number": "310-828-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTNEY",
        "first_name": "CHARLES",
        "middle_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G320840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Porres
• Sean Clayton Porter
• Vanessa Porter
• Verna Ruth Porter, MD
• Robert L Portillo, D.P.M.
• Theresa Anne Poulos
• Christie Louise Poulton, MA, CCC-SLP
• Calvin J. Pouncy, DSW, EDS
• Rambod Poursalimi, D.C.
• Shirin Poustchi, PHARMD, MD

• Psychiatry Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.