Active NPI
Charlotte Nagel, M.D.
- Ophthalmology Physician
- Concord, CA
National Provider Identifier
1457344335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A51683
- Practice address
- 1955 Monument Blvd
#A
Concord, CA 94520-3873 - Phone
- (925) 689-1800
- NPI assigned
- Aug 25, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A51683 | CA | Primary |
Addresses
Primary practice location
1955 Monument Blvd
#A
Concord, CA 94520-3873
Mailing address
1955 Monument Blvd
#A
Concord, CA 94520-3873
Phone (925) 689-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A516830 | Medicaid | CA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101015001054 | CA | Practitioner - Ophthalmology | 3971796475 | Practice locations: Concord, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A51683 | CA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226275200000",
"number": "1457344335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1955 MONUMENT BLVD",
"address_2": "#A",
"city": "CONCORD",
"state": "CA",
"postal_code": "945203873",
"telephone_number": "925-689-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1955 MONUMENT BLVD",
"address_2": "#A",
"city": "CONCORD",
"state": "CA",
"postal_code": "945203873",
"telephone_number": "925-689-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGEL",
"first_name": "CHARLOTTE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-25",
"last_updated": "2008-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A51683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A516830",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.