Organization Active NPI

Charles a Garretson MD Sole MBR

  • Pulmonary Disease Physician
  • Oroville, CA
National Provider Identifier
1679834113
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G86610 Issued in CA
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

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Charles A Garretson, MDNPI 1144284373
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)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
PENDINGMedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.