Individual provider Active NPI

Emily Sarah Charlson, MD

  • Ophthalmology Physician
  • Palo Alto, CA
National Provider Identifier
1609296466
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A137508 Issued in CA
Practice address
2452 Watson CT
Palo Alto, CA 94303
Phone
(650) 723-4000
NPI assigned
Apr 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A137508 CA Primary

Addresses

Primary practice location

2452 Watson CT
Palo Alto, CA 94303

Mailing address

2452 Watson CT
Palo Alto, CA 94303-3216
Phone (650) 723-4000

Other practice location 1

751 S Bascom Ave
San Jose, CA 95128-2604
Phone (602) 999-7636

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
I20180521002425 CA Practitioner - Ophthalmology 9830487313 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Perelman School of Med at the University of Pennsylvania, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Eye Associates, a Medical CorporationGroup PAC ID 5890761936, 12 clinicians

Practice addresses (Care Compare)

2100 Webster St
Suite 214
San Francisco, CA 94115-2375
Phone (415) 923-3007

Hospital & facility affiliations

  • California Pacific Medical Ctr-Davies Campus Hosp Hospital, San Francisco, CA, CCN 050008
  • California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A137508CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North East Medical Services CurrentSince Oct 1, 2020 Accepting new patients
Pacific Eye Associates, a Medical Corporation Ophthalmology CurrentSince Jul 1, 2020 Accepting new patients
North East Medical Services CurrentSince Oct 1, 2020 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

2574 San Bruno Ave
San Francisco, CA 94134
Phone (415) 352-5090

82 Leland Ave
San Francisco, CA 94134
Phone (415) 391-9688

1520 Stockton St
San Francisco, CA 94133

2100 Webster St
Ste 214
San Francisco, CA 94115
Phone (415) 923-3007

Interoperability endpoints

  • Direct secure messaging: echarlson@pacificeye.intellechartdirect.net
  • Direct secure messaging: echarlson430217@hisp.ehr.sutterhealth.org
  • Direct secure messaging: echarlson@pea1103.srs-direct.com
  • Direct secure messaging: echarlson19002@northeastmedicalservicesnems.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1609296466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 WATSON CT",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943033216",
            "telephone_number": "650-723-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 WATSON CT",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94303",
            "telephone_number": "650-723-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 S Bascom Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951282604",
            "country_code": "US",
            "telephone_number": "602-999-7636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLSON",
        "first_name": "EMILY",
        "middle_name": "SARAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-21",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A137508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.