Charles Louis Wiseman, M.D.

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

A24132 Issued in CA

Practice address

8900 Wilshire Blvd, Second Floor
Beverly Hills, CA 90211-1958

Phone

(323) 377-4741

Fax

(626) 577-9069

NPI assigned

Nov 2, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

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.

• Armand Bouzaglou MD Apc

  • Radiation Oncology Physician
  • Los Angeles, CA
  • NPI 1457521510
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1962493551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 WILSHIRE BLVD, SECOND FLOOR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111958",
            "telephone_number": "323-377-4741",
            "fax_number": "626-577-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 WILSHIRE BLVD, SECOND FLOOR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111958",
            "telephone_number": "323-377-4741",
            "fax_number": "626-577-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "CHARLES",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A24132",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A24132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth D Winkler, M.A., L.M.F.T.
• Aimee Winston, PT, DPT
• Talya Winston, MA, LMFT
• Laura Wise, MFT
• Lindsay Jane Wisehart, PA
• David Andrew Wiss, M.S., R.D.N
• Patricia Wittenberg, RD
• Lauren Gale Wittlin, MFT
• Mark Wittman, MD
• Madeline Jill Wolf, PSY.D.

• Medical Oncology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Medical Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.