Active NPI
Charlotte Hull, D.O.
- Emergency Medicine Physician
- Antioch, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 20A17162
- Practice address
- 3901 Lone Tree Way
Antioch, CA 94509 - Phone
- (925) 779-7200
- NPI assigned
- May 2, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 20A17162 | CA | Primary |
Addresses
Primary practice location
3901 Lone Tree Way
Antioch, CA 94509
Mailing address
2100 Powell St Ste 400
Emeryville, CA 94608-1826
Phone (510) 350-2600
Other practice location 1
3635 Vista Ave
Saint Louis, MO 63110-2539
Phone (512) 348-1311
Other practice location 2
3635 Vista Ave
Saint Louis, MO 63110-2539
Phone (512) 348-1311
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America - California
Practice addresses (Care Compare)
180 Rowland Way
Novato, CA 94945-5009
Phone (415) 209-1300
Hospital & facility affiliations
- Novato Community Hospital
- UCSF Health St. Mary'S Hospital
- UCSF Health Saint Francis Hospital
- San Mateo Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A17162 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
Locations
3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
180 Rowland Way
Novato, CA 94945
Phone (415) 209-1300
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051
900 Hyde St
San Francisco, CA 94109
Phone (415) 353-6000
450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000
Interoperability endpoints
- chull457643@hisp.ehr.sutterhealth.org
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
-
- Emergency Medicine Physician
- Santa Ana, CA
- NPI 1548667843
-
- Emergency Medicine Physician
- Long Beach, CA
- NPI 1144849530
-
- Emergency Medicine Physician
- Porterville, CA
- NPI 1780049080
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Mateo, CA
- NPI 1003985755
-
- General Acute Care Hospital
- San Mateo, CA
- NPI 1386713030
-
- Federally Qualified Health Center (FQHC)
- Redwood City, CA
- NPI 1386728533
Hospital
-
- Federally Qualified Health Center (FQHC)
- Redwood City, CA
- NPI 1568540557
Hospital
-
- Federally Qualified Health Center (FQHC)
- South San Francisco, CA
- NPI 1750460671
Hospital
-
- Federally Qualified Health Center (FQHC)
- Half Moon Bay, CA
- NPI 1841379765
Hospital
-
- General Acute Care Hospital
- Novato, CA
- NPI 1104059153
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1174667158
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1316061997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1972958627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL ST STE 400",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081826",
"telephone_number": "510-350-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 LONE TREE WAY",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "94509",
"telephone_number": "925-779-7200"
}
],
"practiceLocations": [
{
"address_1": "3635 Vista Ave",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631102539",
"country_code": "US",
"telephone_number": "512-348-1311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3635 Vista Ave",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631102539",
"country_code": "US",
"telephone_number": "512-348-1311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HULL",
"first_name": "CHARLOTTE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-02",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "20A17162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.