Charlie Baldwin

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

11687 Issued in CA

Practice address

6127 Fair Oaks Blvd
Carmichael, CA 95608-4818

Phone

(916) 974-8090

NPI assigned

Oct 14, 2020

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1699373340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3297 TEA ROSE DR",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957626568",
            "telephone_number": "530-363-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6127 FAIR OAKS BLVD",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956084818",
            "telephone_number": "916-974-8090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 Suncast Ln Ste 8",
            "address_purpose": "LOCATION",
            "city": "El Dorado Hills",
            "state": "CA",
            "postal_code": "957629329",
            "country_code": "US",
            "telephone_number": "530-363-0007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "CHARLIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-14",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "11687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadaf Bafaiz, RPH
• Angelique Bailey, LMFT
• Sandra Gisela Bailey, RDA
• Sherry Bajwa, M.D.
• Todd Baldini, D.C., Q.M.E.
• Gordon Baldwin
• Baleen LLC
• Elizabeth Baliel
• Roderick Yumol Ballelos, DO
• Dennis Terrance Balough, PA-C

• Addiction (Substance Use Disorder) Counselor in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.