Active NPI
Charlene A Hauser, MD
- Family Medicine Physician
- Grass Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A112965
- Practice address
- 10058 Wolf Road
Grass Valley, CA 95949-8194 - Phone
- (530) 745-1500
- Fax
- (530) 745-1505
- NPI assigned
- Jun 26, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A112965 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116020464 | VA |
Addresses
Primary practice location
10058 Wolf Road
Grass Valley, CA 95949-8194
Mailing address
P.O. Box 255228
Sacramento, CA 95865-5228
Phone (800) 470-0071
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Tulane University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2800 L St
Sacramento, CA 95816-5616
3133 Professional Dr
Auburn, CA 95603-2463
Phone (530) 885-8821
3288 Bell Rd
Auburn, CA 95603-9243
Phone (530) 886-2300
3320 Bell Rd
Auburn, CA 95603-9243
Phone (530) 888-1266
Hospital & facility affiliations
- Sutter Auburn Faith Vna & Hospice
- Sutter Auburn Faith Vna & Hospice-Hospice
- Sutter Auburn Faith Hospital
- Sutter Medical Center, Sacramento
- Sutter Roseville Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A112965 | CA | MD | Family Medicine Physician |
| 0116020464 | VA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Family Medicine | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Family Medicine | Current | Accepting new patients |
| Sutter North Medical Foundation | Past | Accepting new patients |
Locations
3133 Professional Dr
Ste 20
Auburn, CA 95603
Phone (530) 885-8821
11795 Education St
Ste 110
Auburn, CA 95602
Phone (530) 886-6820
10058 Wolf Rd
Grass Valley, CA 95949
Phone (530) 268-0847
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
Interoperability endpoints
- chauser135493@hisp.ehr.sutterhealth.org
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
Family Medicine
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952327256
Family Medicine
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Auburn, CA
- NPI 1134147804
-
- General Acute Care Hospital
- Auburn, CA
- NPI 1194774299
-
- General Acute Care Hospital
- Roseville, CA
- NPI 1356390264
-
- Home Health Agency
- Auburn, CA
- NPI 1417987751
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1629230149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 255228",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958655228",
"telephone_number": "800-470-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10058 WOLF ROAD",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959498194",
"telephone_number": "530-745-1500",
"fax_number": "530-745-1505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUSER",
"first_name": "CHARLENE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-26",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A112965",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0116020464",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.