Organization Active NPI

Charles L. Janes, MD Inc

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1629126164
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
A21690 Issued in CA
Legal business name
CHARLES L. JANES, MD INC
Practice address
420 E 3Rd St
Suite 603
Los Angeles, CA 90013-1644
Phone
(213) 680-1551
Fax
(213) 680-2148
NPI assigned
Jan 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alyce Watanabe
Title
Administrative Assistant
Phone
(213) 625-2694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X A21690 CA Primary

Addresses

Primary practice location

420 E 3Rd St
Suite 603
Los Angeles, CA 90013-1644

Mailing address

420 E 3Rd St
Suite 603
Los Angeles, CA 90013-1644
Phone (213) 680-1551

Other identifiers 2

IdentifierTypeStateIssuer
00A216901MedicaidCA
00A216900MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629126164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 3RD ST",
            "address_2": "SUITE 603",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131644",
            "telephone_number": "213-680-1551",
            "fax_number": "213-680-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 3RD ST",
            "address_2": "SUITE 603",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131644",
            "telephone_number": "213-680-1551",
            "fax_number": "213-680-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES L. JANES, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATANABE",
        "authorized_official_first_name": "ALYCE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "213-625-2694"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "A21690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A216901",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A216900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.