Organization Active NPI

Charles E Hollingsworth MD a Professional Corporation

  • Psychiatry Physician
  • La Jolla, CA
National Provider Identifier
1710285697
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CHARLES E HOLLINGSWORTH MD A PROFESSIONAL CORPORATION
Practice address
7825 Fay Ave Ste 200
La Jolla, CA 92037-4270
Phone
(858) 454-1850
Fax
(858) 454-1859
NPI assigned
Mar 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Authorized official

Name
Mr. Charles Edward Hollingsworth, M.D.
Title
President/Psychiatrist
Phone
(858) 454-1850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

7825 Fay Ave Ste 200
La Jolla, CA 92037-4270

Mailing address

7825 Fay Ave Ste 200
La Jolla, CA 92037-4270
Phone (858) 454-1850

National Provider Directory

National Provider Directory

Locations

500 E Esplanade Dr
Ste 1520
Oxnard, CA 93036
Phone (805) 485-3044

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": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1710285697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7825 FAY AVE STE 200",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374270",
            "telephone_number": "858-454-1850",
            "fax_number": "858-454-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7825 FAY AVE STE 200",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374270",
            "telephone_number": "858-454-1850",
            "fax_number": "858-454-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E HOLLINGSWORTH MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSWORTH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT/PSYCHIATRIST",
        "authorized_official_telephone_number": "858-454-1850",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.