Individual provider Active NPI

Charles M Bosley, M.D.

  • General Practice Physician
  • Panorama City, CA
National Provider Identifier
1558312850
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C28055 Issued in CA
Practice address
8215 Van Nuys Blvd
#311
Panorama City, CA 91402-4810
Phone
(818) 994-8900
Fax
(818) 994-2353
NPI assigned
May 12, 2006
Last updated
Sep 11, 2025By the provider in NPPES
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
Orthopaedic Surgery Physician 207X00000X C28055 CA
General Practice Physician 208D00000X C28055 CA Primary

Addresses

Primary practice location

8215 Van Nuys Blvd
#311
Panorama City, CA 91402-4810

Mailing address

8215 Van Nuys Blvd
#311
Panorama City, CA 91402-4810
Phone (818) 994-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C28055CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
C.M.Bosley Medical Group,Inc. General Practice PastSince Aug 1, 2006 Accepting new patients
Panorama City Medical Center,Inc General Practice Past Accepting new patients

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1558312850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 VAN NUYS BLVD",
            "address_2": "#311",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024810",
            "telephone_number": "818-994-8900",
            "fax_number": "818-994-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 VAN NUYS BLVD",
            "address_2": "#311",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024810",
            "telephone_number": "818-994-8900",
            "fax_number": "818-994-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSLEY",
        "first_name": "CHARLES",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "C28055",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "C28055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

Verify at the official NPI Registry.