Individual provider Active NPI

Charles Arthur Hunter, MD

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1417930215
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G42322 Issued in CA
Practice address
1300 N Vermont Ave
Ste 908
Los Angeles, CA 90027-6094
Phone
(213) 484-2000
Fax
(213) 484-9716
NPI assigned
Nov 25, 2005
Last updated
Jun 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G42322 CA Primary

Addresses

Primary practice location

1300 N Vermont Ave
Ste 908
Los Angeles, CA 90027-6094

Mailing address

1300 N Vermont Ave
Ste 908
Los Angeles, CA 90027-6094
Phone (213) 484-2000

Other identifiers 1

IdentifierTypeStateIssuer
00G423221MedicaidCA

Other names 1

  • Mr. Charles Arthur Hunter Jr. Other name

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
I20101004001262 CA Practitioner - General Surgery 2769674191 Practice locations: Los Angeles, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G42322CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Randal Paul Arase MD a Professional Corporation Surgery CurrentSince Oct 17, 2010 Accepting new patients

Locations

1300 N Vermont Ave
Ste 908
Los Angeles, CA 90027
Phone (213) 484-2000

201 S Alvarado St
Ste 716
Los Angeles, CA 90057
Phone (213) 484-2000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1417930215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE",
            "address_2": "STE 908",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276094",
            "telephone_number": "213-484-2000",
            "fax_number": "213-484-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE",
            "address_2": "STE 908",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276094",
            "telephone_number": "213-484-2000",
            "fax_number": "213-484-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "CHARLES",
        "middle_name": "ARTHUR",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G42322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G423221",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "HUNTER",
            "middle_name": "ARTHUR",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.