Individual provider Active NPI

Charles R. Battaglia, M.D.

  • Otolaryngology Physician
  • Pasadena, CA
National Provider Identifier
1518973544
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G16535 Issued in CA
Practice address
10 Congress St Ste 103
Pasadena, CA 91105-3027
Phone
(626) 796-6164
Fax
(626) 796-0883
NPI assigned
Jul 31, 2006
Last updated
Mar 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X G16535 CA Primary

Addresses

Primary practice location

10 Congress St Ste 103
Pasadena, CA 91105-3027

Mailing address

547 East Union Street
Pasadena, CA 91101
Phone (626) 796-6164

Other practice location 1

547 East Union Street
Pasadena, CA 91101
Phone (626) 796-6164

Other identifiers 1

IdentifierTypeStateIssuer
00G165350MedicaidCA

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
I20090625000370 CA Practitioner - Otolaryngology 4082765425 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G16535CAMDOtolaryngology Physician
16535CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven a Battaglia M D Inc Otolaryngology CurrentSince Mar 19, 2009 Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients

Locations

10 Congress St
Ste 103
Pasadena, CA 91105
Phone (626) 795-0282

547 E Union St
Pasadena, CA 91101
Phone (626) 796-6164

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, 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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1518973544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 EAST UNION STREET",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91101",
            "telephone_number": "626-796-6164",
            "fax_number": "626-769-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CONGRESS ST STE 103",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053027",
            "telephone_number": "626-796-6164",
            "fax_number": "626-796-0883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "547 East Union Street",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "91101",
            "country_code": "US",
            "telephone_number": "626-796-6164",
            "fax_number": "626-769-0883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATTAGLIA",
        "first_name": "CHARLES",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G16535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G165350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.