NPIMap

Organization Active NPI

Tracy D. Charles M.D. Inc

  • Anesthesiology Physician
  • Temecula, CA
National Provider Identifier
1639341944
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A46552 Issued in CA
Legal business name
TRACY D. CHARLES M.D. INC
Practice address
27574 Commerce Center Dr
Suite 236
Temecula, CA 92590-2535
Phone
(951) 695-9648
NPI assigned
Mar 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Authorized official

Name
Tracy Denise Charles, M.D.
Title
Owner
Phone
(951) 695-9648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X A46552 CA Primary

Addresses

Primary practice location

27574 Commerce Center Dr
Suite 236
Temecula, CA 92590-2535

Mailing address

27574 Commerce Center Dr
Suite 232
Temecula, CA 92590-2500
Phone (951) 695-9648

National Provider Directory

National Provider Directory

Locations

27574 Commerce Center Dr
Ste 232
Temecula, CA 92590
Phone (951) 695-9648

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1639341944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27574 COMMERCE CENTER DR",
            "address_2": "SUITE 232",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902500",
            "telephone_number": "951-695-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27574 COMMERCE CENTER DR",
            "address_2": "SUITE 236",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902535",
            "telephone_number": "951-695-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY D. CHARLES M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-695-9648",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A46552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.