Charles E Graham, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C31279 Issued in CA

Practice address

6037 La Granada PMB 1223
PMB 1223
Rancho Santa Fe, CA 92067-1223

Phone

(858) 756-5475

Fax

(858) 756-7639

NPI assigned

Dec 14, 2005

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.graham.1@20083.direct.athenahealth.com

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.

• Hardison Medical Corporation

  dba Healthtopia

  • General Practice Physician
  • Encinitas, CA
  • NPI 1124508296
  Medicare reassignment NPD

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1962487728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6037 LA GRANADA #1223",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920671223",
            "telephone_number": "858-756-5475",
            "fax_number": "858-756-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6037 LA GRANADA PMB 1223",
            "address_2": "PMB 1223",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920671223",
            "telephone_number": "858-756-5475",
            "fax_number": "858-756-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "CHARLES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C31279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairbanks Medical Group
• Cara Fuhrman, ND
• Alexander George, D.D.S.
• Sara G Gilman, M.F.T.
• Deborah Leah Goodman, M.D., PH.D.
• Bernard Gramlich, PHARM.D.
• George William Groth IV, M.D.
• Anna Monique Halbeisen, D.O.
• Juliann Michelle Hatt, DNP
• Jason C Helfrich, D.C.

• Internal Medicine Physician in Rancho Santa Fe, CA
• Providers in Rancho Santa Fe, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.