Active NPI
Charles Joel Hyman, MD
- Pediatrics Physician
- Redlands, CA
National Provider Identifier
1710210307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G21691
- Practice address
- 710 Brookside Ave
Suite 1
Redlands, CA 92373-5181 - Phone
- (909) 748-5045
- Fax
- (909) 792-2919
- NPI assigned
- Sep 14, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G21691 | CA | Primary |
Addresses
Primary practice location
710 Brookside Ave
Suite 1
Redlands, CA 92373-5181
Mailing address
710 Brookside Ave
Suite 1
Redlands, CA 92373-5181
Phone (909) 748-5045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G21691 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252886400000",
"number": "1710210307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 BROOKSIDE AVE",
"address_2": "SUITE 1",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923735181",
"telephone_number": "909-748-5045",
"fax_number": "909-792-2919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 BROOKSIDE AVE",
"address_2": "SUITE 1",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923735181",
"telephone_number": "909-748-5045",
"fax_number": "909-792-2919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYMAN",
"first_name": "CHARLES",
"middle_name": "JOEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-14",
"last_updated": "2009-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G21691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.