NPIMap

Individual provider Active NPI

Charles Boadu, MD

  • General Practice Physician
  • Riverside, CA
National Provider Identifier
1861056699
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
200762 Issued in CA
Practice address
4445 Magnolia Ave
Riverside, CA 92501-4135
Phone
(951) 788-3000
NPI assigned
Apr 26, 2019
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME152416 FL
Cardiovascular Disease Physician 207RC0000X ME152416 FL
General Practice Physician 208D00000X 200762 CA Primary

Addresses

Primary practice location

4445 Magnolia Ave
Riverside, CA 92501-4135

Mailing address

5134 Ballantrae Blvd
Land O Lakes, FL 34638-3065
Phone (718) 791-6887

Other practice location 1

1425 Malabar RD NE
Palm Bay, FL 32907-2506
Phone (321) 434-8531

Other practice location 2

9330 State Road 54
Trinity, FL 34655-1808
Phone (727) 834-4868

Other identifiers 2

IdentifierTypeStateIssuer
PENDINGMedicaidFL
WX786OtherFLHFMG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230810000476 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Hospitalist 6800258773 Reassigns benefits to 2 organizations
I20251119001639 CA Practitioner - Cardiovascular Disease (Cardiology) 6800258773 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonora Community HospitalGroup PAC ID 4284538505, shared by 10 NPIs, 134 clinicians
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

1000 Greenley Rd
Sonora, CA 95370-5200
Phone (209) 536-5000

1425 Malabar Rd NE
Palm Bay, FL 32907-2506
Phone (321) 434-8121

193 Fairview LN
Sonora, CA 95370-4828
Phone (209) 536-5100

699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3562

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME152416FLMDCardiovascular Disease Physician
200762CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Community Hospital Internal Medicine CurrentSince Aug 24, 2025 Accepting new patients
Baptist Primary Care Inc CurrentSince Nov 20, 2023 Accepting new patients
Sonora Community Hospital Current Accepting new patients
Health First Medical Group, LLC General Practice CurrentSince Mar 22, 2026 Accepting new patients
Baptist Primary Care Inc Internal Medicine CurrentSince Nov 20, 2023 Accepting new patients
Sonora Community Hospital CurrentSince Aug 24, 2025 Accepting new patients
Health First Medical Group, LLC Internal Medicine CurrentSince Mar 22, 2026 Accepting new patients
Sonora Community Hospital CurrentSince Aug 24, 2025 Accepting new patients
Sonora Community Hospital Current Accepting new patients
Sonora Community Hospital Past Accepting new patients

Locations

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

193 Fairview Ln
Sonora, CA 95370
Phone (209) 536-5100

193 Fairview Ln
Ste C
Sonora, CA 95370
Phone (209) 533-3321

680 Guzzi Ln
Ste 106
Sonora, CA 95370
Phone (209) 532-2792

900 Greenley Rd
Ste 911
Sonora, CA 95370
Phone (209) 532-0511

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

820 Prudential Dr
Ste 304
Jacksonville, FL 32207
Phone (904) 202-3860

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

1425 Malabar Rd NE
Palm Bay, FL 32907
Phone (321) 434-8000

Interoperability endpoints

  • Direct secure messaging: cboadu168730@baptisthealthsystemjacksonville.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1861056699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5134 BALLANTRAE BLVD",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346383065",
            "telephone_number": "718-791-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014135",
            "telephone_number": "951-788-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Malabar RD NE",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329072506",
            "country_code": "US",
            "telephone_number": "321-434-8531",
            "fax_number": "321-434-8533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9330 State Road 54",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346551808",
            "country_code": "US",
            "telephone_number": "727-834-4868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOADU",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-26",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME152416",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME152416",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "200762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFMG",
            "identifier": "WX786",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.