Active NPI
Charles R Stevens, M.D., Apc
- Non-Pharmacy Dispensing Site
- El Centro, CA
National Provider Identifier
1780967455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- Legal business name
- CHARLES R STEVENS, M.D., APC
- Practice address
- 1665 S Imperial Ave
Suite D
El Centro, CA 92243-4253 - Phone
- (760) 482-0212
- NPI assigned
- Sep 20, 2011
- Organization subpart
- Yes
- Parent organization
- CHARLES R STEVENS, A PROFESSIONAL CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Stevens, M.D.
- Title
- President
- Phone
- (760) 482-0212
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Primary |
Addresses
Primary practice location
1665 S Imperial Ave
Suite D
El Centro, CA 92243-4253
Mailing address
1665 S Imperial Ave Ste D
El Centro, CA 92243-4247
Phone (760) 482-0212
National Provider Directory
National Provider Directory- Part of
- Charles R Stevens MD Apc
Locations
1665 S Imperial Ave
Ste D
El Centro, CA 92243
Phone (760) 352-5067
Interoperability endpoints
- https://api.platform.athenahealth.com/28063/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- El Centro, CA
- NPI 1003001363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677024000000",
"number": "1780967455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1665 S IMPERIAL AVE STE D",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922434247",
"telephone_number": "760-482-0212",
"fax_number": "760-482-0166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1665 S IMPERIAL AVE",
"address_2": "SUITE D",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922434253",
"telephone_number": "760-482-0212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES R STEVENS, M.D., APC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHARLES R STEVENS, A PROFESSIONAL CORPORATION",
"enumeration_date": "2011-09-20",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A",
"authorized_official_last_name": "STEVENS",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "760-482-0212",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.