Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. CHARLES EDMUND FTACEK DCN, MS, CNS
NPI 1386365682
Nutritionist - Nutrition, Education in Sebastopol, CA

Active since September 06, 2022
321 S MAIN ST # 544, SEBASTOPOL, CA 95472(615) 815-6183 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Oct 18, 2022, Sep 6, 2022 (3 updates tracked since 2022).

About Dr. Charles Edmund Ftacek Dcn, Ms, Cns NPPES

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

DR. CHARLES EDMUND FTACEK DCN, MS, CNS (NPI 1386365682) is an individual nutrition, education provider in Sebastopol, California and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1386365682
Entity TypeIndividualMale
Primary Taxonomy133NN1002X
Provider Legal NameDR. CHARLES EDMUND FTACEKCredential: DCN, MS, CNS
Location Address321 S MAIN ST # 544Sebastopol, CA 95472-4208
Mailing Address321 S Main St # 544Sebastopol, CA 95472-4208 · (615) 815-6183
Sole ProprietorYes
Enumeration DateSeptember 6, 2022
Last NPPES UpdateSeptember 29, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1386365682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionist · Nutrition, EducationDietary & Nutritional Service Providers
Taxonomy Code133NN1002X
321 S MAIN ST # 544, Sebastopol, CA 95472

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 Ftacek's NPI number?

The NPI number for Charles Ftacek is 1386365682. It was assigned to this individual provider in the NPPES registry on September 6, 2022.

Where is Charles Ftacek located?

Charles Ftacek practices at 321 S Main St # 544, Sebastopol, CA 95472. The listed phone number is (615) 815-6183.

What is Charles Ftacek's specialty?

The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.

When was this NPI record last updated?

The NPPES record for Charles Ftacek was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.