Charles D. Callery, M.D., Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

G33540 Issued in CA

Legal business name

CHARLES D. CALLERY, M.D., INC

Practice address

15725 Pomerado Rd
Suite 206
Poway, CA 92064-2068

Phone

(858) 675-0883

Fax

(858) 675-0549

NPI assigned

Apr 24, 2007

Last updated

Feb 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles D Callery, M.D.NPI 1205819596

Title

Owner

Phone

(858) 675-0883

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Charles Dawson Callery, MD

  • Surgery Physician
  • Poway, CA
  • NPI 1205819596
  Authorized official Same address or phone

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1578782066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD",
            "address_2": "SUITE 206",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642068",
            "telephone_number": "858-675-0883",
            "fax_number": "858-675-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD",
            "address_2": "SUITE 206",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642068",
            "telephone_number": "858-675-0883",
            "fax_number": "858-675-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES D. CALLERY, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "CALLERY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-675-0883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "G33540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oriana Chan, PT, DPT
• Aeria Chang, M.D.
• Diana Julia Chang, MD
• Helen Yuk Yu Chang, M.D.
• Connor Chappell
• Iman Chatman-Dixon
• Jacob Timothy Chatton
• Angela Chavez
• Briana Chavira
• Katelyn Elizabeth Cheney

• Ambulatory Surgical Clinic/Center in Poway, CA
• Providers in Poway, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.