NPIMap

Individual provider Active NPI

Martin L Charlat, M.D.

  • Cardiovascular Disease Physician
  • Encinitas, CA
National Provider Identifier
1790753770
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G64921 Issued in CA
Practice address
320 Santa Fe Dr
Suite 204
Encinitas, CA 92024-5138
Phone
(760) 944-7300
Fax
(760) 634-6566
NPI assigned
Mar 8, 2006
Last updated
Mar 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G64921 CA Primary

Addresses

Primary practice location

320 Santa Fe Dr
Suite 204
Encinitas, CA 92024-5138

Mailing address

320 Santa Fe Dr
Ste 204
Encinitas, CA 92024-5179
Phone (760) 944-7300

Other identifiers 1

IdentifierTypeStateIssuer
00G649210OtherCAMEDI-CAL #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040115001129 CA Practitioner - Cardiovascular Disease (Cardiology) 3577464288 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
San Diego Cardiovascular Associates Medical Group IncGroup PAC ID 0840270757, 15 clinicians
Scripps Cardiology Medical Group, Inc.Group PAC ID 3971547951, 18 clinicians

Practice addresses (Care Compare)

320 Santa Fe Dr
Suite 204
Encinitas, CA 92024-5179
Phone (760) 944-7300

9888 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 457-4123

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64921CAMDDentist
G64921CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Point Healthcare Solutions, Inc CurrentSince May 25, 2017 Accepting new patients
Scripps Health Current Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Feb 15, 2017 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health CurrentSince Jun 6, 2001 Accepting new patients
Scripps Health CurrentSince Jun 6, 2001 Accepting new patients
Scripps Cardiology Medical Group, Inc. Cardiovascular Disease CurrentSince Oct 1, 2006 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

9850 Genesee Ave
Ste 780
La Jolla, CA 92037
Phone (858) 625-7200

9850 Genesee Ave
Ste 940
La Jolla, CA 92037
Phone (858) 457-1234

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mcharlat28385@scrippshlth.medalliesdirect.net

Organizations & group practices 11

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 5

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1790753770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SANTA FE DR",
            "address_2": "STE 204",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245179",
            "telephone_number": "760-944-7300",
            "fax_number": "760-634-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SANTA FE DR",
            "address_2": "SUITE 204",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245138",
            "telephone_number": "760-944-7300",
            "fax_number": "760-634-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLAT",
        "first_name": "MARTIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G64921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL #",
            "identifier": "00G649210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.