Charles Royal Reppe, PA13860

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

PA13860 Issued in CA

Practice address

27200 Calaroga Ave
St. Rose Hospital
Hayward, CA 94545-4339

Phone

(510) 264-4000

NPI assigned

Jan 29, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• UCSF Health Community Hospitals

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1316061997
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770629784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 RUSSELL ST",
            "address_2": "APT. #C",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052077",
            "telephone_number": "510-843-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27200 CALAROGA AVE",
            "address_2": "ST. ROSE HOSPITAL",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454339",
            "telephone_number": "510-264-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPPE",
        "first_name": "CHARLES",
        "middle_name": "ROYAL",
        "credential": "PA13860",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "PA13860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT",
            "identifier": "PA13860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rita Reginaldo-Roxas, RN
• Rehabrewards, Inc
• Alison Aliye Reichard
• Kenneth E Reid, DOCTORATE OF MINIS
• Joseph Reitinger
• Reshape Equipment LLC
• Resilience Chiropractic Luong
• Restorative Community Solutions
• Mylene Meilany Co Resurreccion, FNP-C
• Albert Vincent Retodo, M.D.

• General Acute Care Hospital in Hayward, CA
• Providers in Hayward, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.