DR. CHARLES STEVENS M.D. NPI 1003001363

Anesthesiology (Pain Medicine) in El Centro, CA

About CHARLES STEVENS

Charles Stevens is a provider in El Centro, CA with more than 16 years of experience. The NPI number assigned to this provider is 1003001363. The practitioner's primary taxonomy code is Anesthesiology (207LP2900X). The provider is registered as an individual and their NPI record was last updated 5 years ago. Charles Stevens is registered with Medicare and accepts claims assignment.

NPI

1003001363

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. CHARLES STEVENS M.D.
Provider Location Address1665 S IMPERIAL AVE STE D EL CENTRO, CA 92243 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1665 S IMPERIAL AVE STE D EL CENTRO, CA 92243 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year2003
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date09-10-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date02-06-2013 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. CHARLES STEVENS M.D.
1665 S IMPERIAL AVE STE D
EL CENTRO, CA
ZIP 92243
Phone: (760) 482-0212
Fax: (760) 482-0166

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Mailing Address

DR. CHARLES STEVENS M.D.
1665 S IMPERIAL AVE STE D
EL CENTRO, CA
ZIP 92243
Phone: (760) 482-0212
Fax: (760) 482-0166

Primary Taxonomy

Taxonomy Code207LP2900X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationAnesthesiology
TypeAllopathic & Osteopathic Physicians
SpecializationPain Medicine
License No.A104563
License StateCA
Taxonomy DescriptionAn anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine036.118504ILNo

Taxonomy Description: an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
ASO41ZMEDICARE PIN (08)CA
7096338MEDICAID (05)CA
Previous NPI
1003001355
Next NPI
1003001371