Marc a Charles MD Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G40535 Issued in CA

Legal business name

MARC A CHARLES MD INC

Practice address

1501 N Harbor Blvd Ste 203
Fullerton, CA 92835-3803

Phone

(714) 871-5411

Fax

(714) 871-2401

NPI assigned

Aug 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marc A Charles, MDNPI 1316032386

Title

Owner

Phone

(714) 871-5411

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc A Charles, M.D.

  • Psychiatry Physician
  • Fullerton, CA
  • NPI 1316032386
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1457544207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N HARBOR BLVD STE 203",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353803",
            "telephone_number": "714-871-5411",
            "fax_number": "714-871-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N HARBOR BLVD STE 203",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353803",
            "telephone_number": "714-871-5411",
            "fax_number": "714-871-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC A CHARLES MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-871-5411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G40535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Korea Manzo
• Lizbeth Mapa, OTD, OTR/L
• Abigail Marie Marapao, NP
• Crystal Maravilla
• Jacqueline Maraya
• Maryanne Marcolivio, O.D.
• Emily Mares
• Johnatthon Roger Marez
• Meagan Margheim
• Maria G. Gonzalez, a Licensed Clinical Social Worker Corporation

• Psychiatry Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.