CHARLES A AMEZCUA M.D.
NPI 1245373992
Pathology - Anatomic Pathology in Santa Rosa, CA

Active since February 14, 2007PECOS EnrolledAccepts Medicare Assignment
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403(707) 571-4686 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles A Amezcua M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES A AMEZCUA M.D. (NPI 1245373992) is an individual anatomic pathology provider in Santa Rosa, California, licensed in California (G81183) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (1993).

NPPES Registry Identity

NPI1245373992
Entity TypeIndividualMale
Primary Taxonomy207ZP0101X
Provider Legal NameCHARLES A AMEZCUACredential: M.D.
Location Address401 BICENTENNIAL WAYSanta Rosa, CA 95403-2149
Mailing Address2800 Saint Paul Dr, Apt. 241Santa Rosa, CA 95405-8542 · (707) 528-1980
Sole ProprietorYes
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1993
Enumeration DateFebruary 14, 2007
Last NPPES UpdateFebruary 11, 2022
NPI 1245373992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
License Licensed in CA · G81183
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
401 BICENTENNIAL WAY, Santa Rosa, CA 95403

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Charles A Amezcua M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618071416
PECOS Enrollment IDI20070404000346
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
21 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.00 typical visit price
range $63.04 – $187.01
Typical copayment $35.50 (range $15.76 – $46.75)
Most-billed visit code 99204
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Physical Therapist
401 BICENTENNIAL WAY, EAST BUILDING, SUITE 190
SANTA ROSA, CA 95403
Nurse Anesthetist, Certified Registered
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Pediatrics
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Pathology (Anatomic Pathology)
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Social Worker (Clinical)
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Pharmacist
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Pharmacist
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Amezcua's NPI number?

The NPI number for Charles Amezcua is 1245373992. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Charles Amezcua located?

Charles Amezcua practices at 401 Bicentennial Way, Santa Rosa, CA 95403. The listed phone number is (707) 571-4686.

What is Charles Amezcua's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Charles Amezcua enrolled in Medicare?

Yes. Charles Amezcua is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Charles Amezcua was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.