NPIMap

Individual provider Active NPI

Charles L Herring, M.D.

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1831231927
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G84865 Issued in CA
Practice address
8930 S Sepulveda Blvd Ste 200
Los Angeles, CA 90045-3624
Phone
(310) 641-8111
Fax
(310) 337-7274
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X G84865 CA
Orthopaedic Surgery Physician 207X00000X G84865 CA Primary

Addresses

Primary practice location

8930 S Sepulveda Blvd Ste 200
Los Angeles, CA 90045-3624

Mailing address

PO Box 9789
Marina del Rey, CA 90295-2189
Phone (310) 577-8500

Other practice location 1

4644 Lincoln Blvd
Suite 101
Marina Del Rey, CA 90292-6313
Phone (310) 577-8500

Other identifiers 1

IdentifierTypeStateIssuer
006848650MedicaidCA

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
I20111028000151 CA Practitioner - Orthopedic Surgery 7315110814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8930 S Sepulveda Blvd
Suite 200
Los Angeles, CA 90045-3624

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84865CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Charles L. Herring, MD, Apc Orthopaedic Surgery CurrentSince Oct 25, 2011 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Cynthia Mathis MD a Professional Corporation PastSince Jul 24, 2022 Accepting new patients
Pacifica of the Valley Corporation Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Cedars-Sinai Marina Hospital Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients

Locations

8930 S Sepulveda Blvd
Ste 200
Los Angeles, CA 90045
Phone (310) 641-8111

6221 Wilshire Blvd
Ste 620
Los Angeles, CA 90048
Phone (323) 556-0090

4644 Lincoln Blvd
Ste 101
Marina del Rey, CA 90292
Phone (310) 577-8500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1831231927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9789",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902952189",
            "telephone_number": "310-577-8500",
            "fax_number": "310-305-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 S SEPULVEDA BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453624",
            "telephone_number": "310-641-8111",
            "fax_number": "310-337-7274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4644 Lincoln Blvd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Marina Del Rey",
            "state": "CA",
            "postal_code": "902926313",
            "country_code": "US",
            "telephone_number": "310-577-8500",
            "fax_number": "310-305-7119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRING",
        "first_name": "CHARLES",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "G84865",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G84865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006848650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.