Organization Active NPI

Charles Kasper MD a Medical Corp

  • Surgery Physician
  • Walnut Creek, CA
National Provider Identifier
1740501691
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G90620 Issued in CA
Legal business name
CHARLES KASPER MD A MEDICAL CORP
Practice address
130 La Casa Via BLDG 1
Walnut Creek, CA 94598-3045
Phone
(925) 937-6210
Fax
(925) 937-7127
NPI assigned
Jun 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Authorized official

Name
Charles J Kasper, MD
Title
President
Phone
(925) 937-6210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X G90620 CA Primary

Addresses

Primary practice location

130 La Casa Via BLDG 1
Walnut Creek, CA 94598-3045

Mailing address

130 La Casa Via BLDG 1
Walnut Creek, CA 94598-3045
Phone (925) 937-6210

National Provider Directory

National Provider Directory

Locations

130 La Casa Via
Ste 201
Walnut Creek, CA 94598
Phone (925) 932-1018

130 La Casa Via
Bldg 1
Walnut Creek, CA 94598
Phone (925) 937-6210

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1740501691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LA CASA VIA BLDG 1",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983045",
            "telephone_number": "925-937-6210",
            "fax_number": "925-937-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LA CASA VIA BLDG 1",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983045",
            "telephone_number": "925-937-6210",
            "fax_number": "925-937-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES KASPER MD A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "KASPER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-937-6210",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G90620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.