Charles E McCarl MD

Key facts

NPI

1639281306

Entity type

Organization (NPI type 2)

Primary specialty

General Practice Physician 208D00000X

License

A275540 (CA)

Legal business name

CHARLES E MCCARL MD

Practice address

969 E Street
Williams, CA 95987-0009

Phone

(530) 473-2113

Fax

(530) 473-5299

NPI assigned

Aug 31, 2006

Organization subpart

No

Authorized official

Name

Charles Edwin McCarl, MD MPH

Title

Physician and Surgeon

Phone

(530) 473-2113

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639281306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "address_2": "969 E STREET",
            "city": "WILLIAMS",
            "state": "CA",
            "postal_code": "959870009",
            "telephone_number": "530-473-2113",
            "fax_number": "530-473-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 E STREET",
            "city": "WILLIAMS",
            "state": "CA",
            "postal_code": "959870009",
            "telephone_number": "530-473-2113",
            "fax_number": "530-473-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E MCCARL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCARL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PHYSICIAN AND SURGEON",
        "authorized_official_telephone_number": "530-473-2113",
        "authorized_official_credential": "MD MPH"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A275540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Williams, CA · General Practice Physician in California