Active NPI
Charles J. Dobbs, R.PH., MBA
- Pharmacist
- Rialto, CA
National Provider Identifier
1912005018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42895
- Practice address
- 436 S Riverside Ave
Rialto, CA 92376-6523 - Phone
- (909) 875-7260
- Fax
- (909) 875-7265
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 42895 | CA | Primary |
Addresses
Primary practice location
436 S Riverside Ave
Rialto, CA 92376-6523
Mailing address
17632 Whitney Dr
North Tustin, CA 92705-1848
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
- Credentials
- Master of Business Administration, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42895 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1912005018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17632 WHITNEY DR",
"city": "NORTH TUSTIN",
"state": "CA",
"postal_code": "927051848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 S RIVERSIDE AVE",
"city": "RIALTO",
"state": "CA",
"postal_code": "923766523",
"telephone_number": "909-875-7260",
"fax_number": "909-875-7265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBBS",
"first_name": "CHARLES",
"middle_name": "J.",
"credential": "R.PH., MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "42895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rialto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.