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

Sex

Male

Sole proprietor

Yes

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.

• Hardison Medical Corporation

  • General Practice Physician
  • Encinitas, CA
  • NPI 1124508296

  CA

  Medicare reassignment NPD

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2023.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "C31279",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER INDENTIFIER",
            "identifier": "1962487728",
            "state": "CA"
        }
    ],
    "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.

• All providers in Rancho Santa Fe, CA
• 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.