Individual provider Active NPI

Charles William Spenler, M.D.

  • Plastic Surgery Physician
  • Torrance, CA
National Provider Identifier
1790896801
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
C32362 Issued in CA
Practice address
3440 Lomita Blvd
Suite 100
Torrance, CA 90505-4801
Phone
(310) 784-0644
Fax
(310) 784-0544
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X C32362 CA Primary

Addresses

Primary practice location

3440 Lomita Blvd
Suite 100
Torrance, CA 90505-4801

Mailing address

540 3Rd St
Manhattan Beach, CA 90266-6415
Phone (310) 379-4185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071015000303 CA Practitioner - Plastic and Reconstructive Surgery 2860588373 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C32362CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Memorial Medical Center CurrentSince Apr 1, 2009 Accepting new patients
Torrance Memorial Medical Center CurrentSince Apr 1, 2009 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

Locations

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

3440 Lomita Blvd
Ste 100
Torrance, CA 90505
Phone (310) 784-0644

3640 Lomita Blvd
Ste 306
Torrance, CA 90505
Phone (310) 373-8595

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790896801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 3RD ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666415",
            "telephone_number": "310-379-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 LOMITA BLVD",
            "address_2": "SUITE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054801",
            "telephone_number": "310-784-0644",
            "fax_number": "310-784-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENLER",
        "first_name": "CHARLES",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "C32362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.