Active NPI
Charon L Floyd
- Social Worker
- Alameda, CA
National Provider Identifier
1851601595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 28695
- Practice address
- 2325 Clement Ave
Alameda, CA 94501-7063 - Phone
- (510) 629-6300
- NPI assigned
- Oct 15, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 28695 | CA | Primary |
Addresses
Primary practice location
2325 Clement Ave
Alameda, CA 94501-7063
Mailing address
2325 Clement Ave
Alameda, CA 94501
Phone (510) 629-6300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28695 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384387200000",
"number": "1851601595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2325 CLEMENT AVE",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "94501",
"telephone_number": "510-629-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 CLEMENT AVE",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945017063",
"telephone_number": "510-629-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOYD",
"first_name": "CHARON",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-15",
"last_updated": "2013-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "28695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.