Individual provider Active NPI

Charles Chalekson, MD

  • Plastic Surgery Physician
  • Templeton, CA
National Provider Identifier
1770668642
Registry record updated Jul 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A77782 Issued in CA
Practice address
225 Posada LN Ste 100
Templeton, CA 93465-4065
Phone
(805) 434-2828
Fax
(805) 434-9928
NPI assigned
Oct 26, 2006
Last updated
Jul 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A77782 CA Primary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X A77782 CA

Addresses

Primary practice location

225 Posada LN Ste 100
Templeton, CA 93465-4065

Mailing address

225 Posada LN Ste 100
Templeton, CA 93465-4065
Phone (805) 434-2828

Other identifiers 1

IdentifierTypeStateIssuer
00A777820MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060308000880 CA Practitioner - Plastic and Reconstructive Surgery 3274540737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Southern California Keck School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles Chalekson M D IncGroup PAC ID 9638273717, 2 clinicians

Practice addresses (Care Compare)

225 Posada LN
Suite 100
Templeton, CA 93465-4065
Phone (805) 434-2828

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy30
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A77782CAMDSurgery of the Hand (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Chalekson, MD Inc CurrentSince Jan 30, 2006 Accepting new patients
Kallos Surgery Center Inc. CurrentSince Jun 26, 2023 Accepting new patients

Locations

1310 Las Tablas Rd
Ste 202
Templeton, CA 93465
Phone (805) 434-2828

225 Posada Ln
Ste 100
Templeton, CA 93465
Phone (805) 434-2828

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688169600000",
    "number": "1770668642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 POSADA LN STE 100",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654065",
            "telephone_number": "805-434-2828",
            "fax_number": "805-434-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 POSADA LN STE 100",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654065",
            "telephone_number": "805-434-2828",
            "fax_number": "805-434-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALEKSON",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-07-01",
        "certification_date": "2023-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A77782",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "A77782",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A777820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Templeton, CA

Sources for this page

Verify at the official NPI Registry.