Individual provider Active NPI

Charles E Linden, MD

  • Procedural Dermatology Physician
  • Tarzana, CA
National Provider Identifier
1508861634
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
G42744 Issued in CA
Practice address
18364 Clark St
Tarzana, CA 91356-3502
Phone
(818) 345-7122
Fax
(818) 345-7448
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G42744 CA
Procedural Dermatology Physician 207NS0135X G42744 CA Primary

Addresses

Primary practice location

18364 Clark St
Tarzana, CA 91356-3502

Mailing address

18364 Clark St
Tarzana, CA 91356-3502
Phone (818) 345-7122

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
I20100726000544 CA Practitioner - Dermatology 9133135700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Wisconsin, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Dermatologic Medical Group IncGroup PAC ID 8527072651, 3 clinicians
Simi Dermatologic Medical Center, IncGroup PAC ID 5193739332, 2 clinicians

Practice addresses (Care Compare)

18364 Clark St
Tarzana, CA 91356-3502
Phone (818) 345-7122

18364 Clark St
Tarzana, CA 91356-3597

2925 Sycamore Dr
Simi Valley, CA 93065-1208
Phone (805) 527-6586

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1194
Removal or shaving of skin growth1-10
Skin biopsy207

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G42744CAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Dermatologic Medical Group, Inc Dermatology CurrentSince Jan 1, 1973 Accepting new patients
Simi Dermatologic Medical Center, Inc Dermatology CurrentSince Dec 23, 1988 Accepting new patients

Locations

2925 Sycamore Dr
Ste 203
Simi Valley, CA 93065
Phone (805) 527-6586

18364 Clark St
#105
Tarzana, CA 91356

18364 Clark St
Tarzana, CA 91356
Phone (818) 345-7122

18364 Clark St
Ste 105
Tarzana, CA 91356
Phone (818) 345-7122

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1508861634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18364 CLARK ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563502",
            "telephone_number": "818-345-7122",
            "fax_number": "818-345-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18364 CLARK ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563502",
            "telephone_number": "818-345-7122",
            "fax_number": "818-345-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDEN",
        "first_name": "CHARLES",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G42744",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "G42744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.