Individual provider Active NPI

Charles Varnishung, MD

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1831693639
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A187016 Issued in CA
Practice address
200 W Arbor Dr
San Diego, CA 92103-9000
Phone
(800) 926-8273
Fax
(888) 539-8781
NPI assigned
Mar 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A187016 CA Primary

Addresses

Primary practice location

200 W Arbor Dr
San Diego, CA 92103-9000

Mailing address

PO Box 232410
San Diego, CA 92193-2410

Other practice location 1

4932 Prytania St
New Orleans, LA 70115-4018
Phone (504) 812-8916

Other practice location 2

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4796

Other practice location 3

1514 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 842-3260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230714000597 CA Practitioner - Diagnostic Radiology 1456601343 Reassigns benefits to 1 organization
I20240909000133 LA Practitioner - Diagnostic Radiology 1456601343 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Imaging ServicesGroup PAC ID 7618872102, 22 clinicians
Fairway Medical Center LLCGroup PAC ID 6406815687, 9 clinicians

Practice addresses (Care Compare)

4241 Veterans Blvd
Suite 100
Metairie, LA 70006-5430
Phone (504) 888-7921

67252 Industry LN
Covington, LA 70433-8704
Phone (985) 809-9888

Hospital & facility affiliations

  • Avala Hospital, Covington, LA, CCN 190267

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
73.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A187016CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Imaging Services CurrentSince Mar 1, 2025 Accepting new patients
West Jefferson MRI, LLC CurrentSince Aug 27, 2024 Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Jefferson Radiology Associates, Inc Diagnostic Radiology CurrentSince Sep 15, 2024 Accepting new patients
Fairway Medical Center, LLC Diagnostic Radiology CurrentSince Jan 19, 2026 Accepting new patients
West Jefferson MRI, LLC CurrentSince Aug 27, 2024 Accepting new patients
Regents of the University of California Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients

Locations

9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

330 Lewis St
Ste 400
San Diego, CA 92103
Phone (619) 471-9250

67252 Industry Ln
Covington, LA 70433
Phone (985) 801-0259

71154 Highway 21
Covington, LA 70433
Phone (985) 463-5476

1111 Medical Center Blvd
Ste N110
Marrero, LA 70072
Phone (504) 349-6191

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

4525 Westbank Expy
Ste B
Marrero, LA 70072
Phone (504) 349-6570

925 Avenue C
Marrero, LA 70072
Phone (504) 459-3200

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.

Hospital & facility affiliations 1

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": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1831693639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039000",
            "telephone_number": "800-926-8273",
            "fax_number": "888-539-8781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4932 Prytania St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701154018",
            "country_code": "US",
            "telephone_number": "504-812-8916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1514 Jefferson Hwy",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701212429",
            "country_code": "US",
            "telephone_number": "504-842-4796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1514 Jefferson Hwy",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "70121",
            "country_code": "US",
            "telephone_number": "504-842-3260",
            "fax_number": "504-842-3193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARNISHUNG",
        "first_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A187016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.