Individual provider Active NPI

Charles Edward Hamrell, M.D.

  • Obstetrics & Gynecology Physician
  • Marina del Rey, CA
National Provider Identifier
1447493994
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A26122 Issued in CA
Practice address
6 Fleet St
#102
Marina del Rey, CA 90292-5792
Phone
(310) 980-1314
Fax
(310) 578-9048
NPI assigned
Apr 14, 2009
Last updated
Apr 14, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A26122 CA Primary

Addresses

Primary practice location

6 Fleet St
#102
Marina del Rey, CA 90292-5792

Mailing address

6 Fleet St
#102
Marina del Rey, CA 90292-5792
Phone (310) 980-1314

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
I20150330000144 CA Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 4688562952

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A26122CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Healthcare Associates of Santa Monica, a Medical Corporation Obstetrics & Gynecology PastSince Feb 20, 2004 Accepting new patients

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": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239667200000",
    "number": "1447493994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FLEET ST",
            "address_2": "#102",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925792",
            "telephone_number": "310-980-1314",
            "fax_number": "310-578-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FLEET ST",
            "address_2": "#102",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925792",
            "telephone_number": "310-980-1314",
            "fax_number": "310-578-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMRELL",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A26122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

Verify at the official NPI Registry.