Charles M Walworth, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

G83332 Issued in CA

Practice address

11190 Warner Ave
Suite 411
Fountain Valley, CA 92708-4019

Phone

(714) 751-5800

Fax

(714) 751-5860

NPI assigned

Jan 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Jorge E. Rodriguez M.D. Inc.

  • Specialist
  • Los Angeles, CA
  • NPI 1699730044
  NPD (past)
• Paul J. Cimoch II, MD, a Professional Corp

  • Internal Medicine Physician
  • Costa Mesa, CA
  • NPI 1356472344
  NPD (past)

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629057625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 HILLCREST DR",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511447",
            "telephone_number": "949-376-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE",
            "address_2": "SUITE 411",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084019",
            "telephone_number": "714-751-5800",
            "fax_number": "714-751-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALWORTH",
        "first_name": "CHARLES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G83332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Walker, BT
• Cynthia Guadalupe Walker
• Ann Walkins, RBT
• Lisa H. Wall, MFT
• Brandie Rulfs Walton, PA-C
• Michael Wan, M.D.
• Arden Yu-Cin Wang
• Jiayi Wang
• John Weijune Wang, M.D.
• Lillian Chen Wang, PA-C, CPH

• Specialist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.