Active NPI
Charles a Garretson MD Sole MBR
- Pulmonary Disease Physician
- Oroville, CA
National Provider Identifier
1679834113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- G86610
- Legal business name
- CHARLES A GARRETSON MD SOLE MBR
- Practice address
- 2721 Olive Hwy
Ste 2
Oroville, CA 95966-6115 - Phone
- (530) 533-6100
- Fax
- (530) 533-6102
- NPI assigned
- May 31, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles A Garretson, MD
- Title
- President
- Phone
- (530) 533-6100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | G86610 | CA | Primary |
Addresses
Primary practice location
2721 Olive Hwy
Ste 2
Oroville, CA 95966-6115
Mailing address
2721 Olive Hwy
Ste 2
Oroville, CA 95966-6115
Phone (530) 533-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
188 Cohasset Rd
Chico, CA 95926
2721 Olive Hwy
Ste 2
Oroville, CA 95966
Phone (530) 533-6100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Live Oak, CA
- NPI 1144284373
Pulmonary Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340236800000",
"number": "1679834113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2721 OLIVE HWY",
"address_2": "STE 2",
"city": "OROVILLE",
"state": "CA",
"postal_code": "959666115",
"telephone_number": "530-533-6100",
"fax_number": "530-533-6102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2721 OLIVE HWY",
"address_2": "STE 2",
"city": "OROVILLE",
"state": "CA",
"postal_code": "959666115",
"telephone_number": "530-533-6100",
"fax_number": "530-533-6102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES A GARRETSON MD SOLE MBR",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-31",
"last_updated": "2012-06-21",
"status": "A",
"authorized_official_last_name": "GARRETSON",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "530-533-6100",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "G86610",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oroville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.