NPIMap

Organization Active NPI

Charles J Korth OD, Inc

  • Optometrist
  • Pasadena, CA
National Provider Identifier
1508206616
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 9449 TPA Issued in CA
Legal business name
CHARLES J KORTH OD, INC
Practice address
1 W California Blvd
Ste 513
Pasadena, CA 91105-3029
Phone
(626) 793-9987
NPI assigned
Jul 3, 2013
Last updated
Jan 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Authorized official

Name
Dr. Charles J Korth, ODNPI 1609858786
Title
President
Phone
(626) 793-9987

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 9449 TPA CA Primary

Addresses

Primary practice location

1 W California Blvd
Ste 513
Pasadena, CA 91105-3029

Mailing address

1 W California Blvd
Ste 513
Pasadena, CA 91105-3029
Phone (626) 793-9987

National Provider Directory

National Provider Directory

Locations

1 W California Blvd
Ste 513
Pasadena, CA 91105
Phone (626) 382-2509

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1508206616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W CALIFORNIA BLVD",
            "address_2": "STE 513",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053029",
            "telephone_number": "626-793-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W CALIFORNIA BLVD",
            "address_2": "STE 513",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053029",
            "telephone_number": "626-793-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES J KORTH OD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "KORTH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-793-9987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 9449 TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.