NPIMap

Organization Active NPI

Charles E. Imbus, MD, Inc

  • Neurology Physician
  • Arcadia, CA
National Provider Identifier
1659646636
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
CHARLES E. IMBUS, MD, INC
Practice address
665 W Naomi Ave Ste 202
Arcadia, CA 91007-7563
Phone
(626) 445-6275
Fax
(626) 445-3583
NPI assigned
Mar 9, 2012
Last updated
Mar 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Dr. Charles Eugene Imbus, MDNPI 1912999764
Title
Physician & President
Phone
(626) 445-6275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU
Neurology Physician 2084N0400X NU Primary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X NU
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X NU

Addresses

Primary practice location

665 W Naomi Ave Ste 202
Arcadia, CA 91007-7563

Mailing address

665 W Naomi Ave Ste 202
Arcadia, CA 91007-7563

Other identifiers 2

IdentifierTypeStateIssuer
00C346420MedicaidCA
1912999764OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1659646636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 W NAOMI AVE STE 202",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 W NAOMI AVE STE 202",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077563",
            "telephone_number": "626-445-6275",
            "fax_number": "626-445-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E. IMBUS, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "IMBUS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PHYSICIAN & PRESIDENT",
        "authorized_official_telephone_number": "626-445-6275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C346420",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1912999764",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.