Individual provider Active NPI

Charles A Tujo, MD

  • Diagnostic Ultrasound Physician
  • Travis Afb, CA
National Provider Identifier
1801893276
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
License
A85193 Issued in CA
Practice address
101 Bodin Cir
Travis Afb, CA 94535-1809
Phone
(707) 423-7205
Fax
(707) 423-7207
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X A85193 CA
Neuroradiology Physician 2085N0700X A85193 CA
Nuclear Radiology Physician 2085N0904X A85193 CA
Diagnostic Radiology Physician 2085R0202X A85193 CA
Radiological Physics Physician 2085R0205X A85193 CA
Diagnostic Ultrasound Physician 2085U0001X A85193 CA Primary

Addresses

Primary practice location

101 Bodin Cir
Travis Afb, CA 94535-1809

Mailing address

101 Bodin Cir
Travis Afb, CA 94535-1809
Phone (707) 423-7205

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
I20040304001247 CA Practitioner - Diagnostic Radiology 5991693764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (916) 454-6868

1640 E Roseville Pkwy
Suite 9
Roseville, CA 95661-3902
Phone (916) 784-2277

1651 Exposition Blvd
Sacramento, CA 95815-5149
Phone (916) 731-7770

16911 Willow Glen Rd
Brownsville, CA 95919-9707
Phone (530) 675-2457

2 Medical Plaza Dr
Roseville, CA 95661-3042

2261 Douglas Blvd
Roseville, CA 95661-3831
Phone (916) 783-7109

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-2011

2660 W Covell Blvd
Davis, CA 95616-5645
Phone (530) 747-3000

271 Turn Pike Dr
Folsom, CA 95630-8098
Phone (916) 985-9300

2800 L St
Sacramento, CA 95816-5616

2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 454-6600

3161 L St
Sacramento, CA 95816-5234
Phone (916) 453-9999

3200 Bell Rd
Auburn, CA 95603-9244
Phone (530) 885-7616

440 Plumas Blvd
Yuba City, CA 95991-5071
Phone (530) 749-3409

444 Plumas Blvd
Yuba City, CA 95991-5071
Phone (530) 749-3420

4860 Y St
Sacramento, CA 95817-2307

4861 Y St
Sacramento, CA 95817-2307
Phone (916) 734-2525

4868 X St
Sacramento, CA 95817-2205

550 W Ranch View Dr
Suite 1200
Rocklin, CA 95765-5398
Phone (916) 295-5810

7551 Madison Ave
Citrus Heights, CA 95610-7449
Phone (916) 904-3000

800 E Washington Blvd
Crescent City, CA 95531-8359
Phone (707) 464-8511

8110 Laguna Blvd
Elk Grove, CA 95758-8094
Phone (916) 683-3942

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jun 15, 2019 Accepting new patients
Regents of the University of Ca CurrentSince Aug 22, 2018 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jun 15, 2019 Accepting new patients
Regents of the Univ of Ca Diagnostic Radiology CurrentSince Aug 22, 2018 Accepting new patients
Sutter Valley Medical Foundation Diagnostic Radiology Current Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Essent PRMC LP Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

3123 Professional Dr
Ste 100
Auburn, CA 95603
Phone (530) 888-8878

271 Turn Pike Dr
Folsom, CA 95630
Phone (916) 985-9200

3850 G St
Merced, CA 95340
Phone (209) 384-6528

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

2315 Stockton Blvd
#5
Sacramento, CA 95817
Phone (916) 703-3050

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

3161 L St
Sacramento, CA 95816
Phone (916) 453-9999

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

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 and National Provider Directory roles.

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1801893276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "707-423-7205",
            "fax_number": "707-423-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "707-423-7205",
            "fax_number": "707-423-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUJO",
        "first_name": "CHARLES",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CA",
            "license": "A85193",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A85193",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "CA",
            "license": "A85193",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A85193",
            "primary": false
        },
        {
            "code": "2085R0205X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiological Physics",
            "state": "CA",
            "license": "A85193",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CA",
            "license": "A85193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Travis Afb, CA

Sources for this page

Verify at the official NPI Registry.