Active NPI
Charles H. Halsted, M.D.
- Specialist
- Sacramento, CA
National Provider Identifier
1558451708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 207REO10X
- Practice address
- 2825 J St
Suite 300
Sacramento, CA 95816-4300 - Phone
- (916) 734-2890
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 207REO10X | CA | Primary |
Addresses
Primary practice location
2825 J St
Suite 300
Sacramento, CA 95816-4300
Mailing address
451 Health Sciences Dr.
5303 GBSF
Davis, CA 95616
Phone (530) 752-6778
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00392 | Other | CA | PI NUMBER |
| G026076 | Other | CA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207REO10X | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1558451708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 HEALTH SCIENCES DR.",
"address_2": "5303 GBSF",
"city": "DAVIS",
"state": "CA",
"postal_code": "95616",
"telephone_number": "530-752-6778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 J ST",
"address_2": "SUITE 300",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958164300",
"telephone_number": "916-734-2890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALSTED",
"first_name": "CHARLES",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "207REO10X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PI NUMBER",
"identifier": "00392",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "G026076",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.