Organization Active NPI

Charles W. Perry, M.D., Inc.

  • Plastic and Reconstructive Surgery Physician
  • Sacramento, CA
National Provider Identifier
1962625251
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
A87534 Issued in CA
Legal business name
CHARLES W. PERRY, M.D., INC.
Practice address
3800 J St Ste 200
Sacramento, CA 95816-5551
Phone
(916) 273-7435
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Charles W Perry, M.D.NPI 1992883664
Title
President
Phone
(916) 273-7435

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X A87534 CA Primary

Addresses

Primary practice location

3800 J St Ste 200
Sacramento, CA 95816-5551

Mailing address

3800 J St Ste 200
Sacramento, CA 95816-5551
Phone (916) 273-7435

National Provider Directory

National Provider Directory

Locations

3800 J St
Ste 210
Sacramento, CA 95816
Phone (916) 273-7435

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962625251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 J ST STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165551",
            "telephone_number": "916-273-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 J ST STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165551",
            "telephone_number": "916-273-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES W. PERRY, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-273-7435",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A87534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.