Charles Hudson, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C34859 Issued in CA

Practice address

913 Washington St
Calistoga, CA 94515-1433

Phone

(707) 942-0844

Fax

(707) 942-0852

NPI assigned

Feb 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Louisiana State University School of Medicine in New Orleans, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ukiah Adventist Hospital 136 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.77 of 100Reported as apm

Quality

81.54

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Ukiah Adventist Hospital

  • General Acute Care Hospital
  • Ukiah, CA
  • NPI 1235120676

  CA

  Medicare reassignment Care Compare group NPD
• Adventist Health Clearlake Hospital Inc.

  • Critical Access Hospital
  • Clearlake, CA
  • NPI 1124018031

  CA

  Medicare reassignment NPD
• Adventist Health Physicians Network

  • Multi-Specialty Clinic/Center
  • Hanford, CA
  • NPI 1063718583

  CA

  Medicare reassignment NPD
• Willits Hospital Inc.

  • Critical Access Hospital
  • Willits, CA
  • NPI 1356339543

  CA

  Medicare reassignment NPD
• Ukiah Adventist Hospital

  • Community/Retail Pharmacy
  • Willits, CA
  • NPI 1629432968
  Care Compare group NPD
• Ukiah Adventist Hospital

  • Rural Health Clinic/Center
  • Fort Bragg, CA
  • NPI 1588095848
  Care Compare group
• Ukiah Adventist Hospital

  • Rural Health Clinic/Center
  • Ukiah, CA
  • NPI 1770653362
  Care Compare group
• Ukiah Adventist Hospital

  • Rural Health Clinic/Center
  • Ukiah, CA
  • NPI 1952471542
  Care Compare group
• Adventist Health Physicians Network

  • Physical Therapy Clinic/Center
  • Paradise, CA
  • NPI 1134092190
  NPD
• Adventist Health Physicians Network

  • Surgery Physician
  • Clearlake, CA
  • NPI 1992002083
  NPD

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1679549281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 ADAMS ST",
            "address_2": "STE 102",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945741107",
            "telephone_number": "707-968-2863",
            "fax_number": "707-963-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 WASHINGTON ST",
            "city": "CALISTOGA",
            "state": "CA",
            "postal_code": "945151433",
            "telephone_number": "707-942-0844",
            "fax_number": "707-942-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C34859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Green, M.S.
• Daniel Martin Haycraft, M.D.
• Gustavo Gavino Herrera Ortega Jr.
• Gina Hitchcock, DMD
• Richard G. Holston, PHD
• Jodie Ann Hunt, P.T
• Kendall Loggins, MA, PPS
• Brittany Marte, PA-C
• Arika Lanee Martinoni, DMD
• Donna Mathews, RN

• All providers in Calistoga, CA
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.