DR. CHARLES VINCENT ETTARI M.D.
NPI 1629096631
Psychiatry & Neurology - Psychiatry in La Jolla, CA

Q: What is Charles Ettari's NPI number?

The NPI number for Charles Ettari is 1629096631. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Charles Ettari's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Charles Ettari was last updated on November 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 17, 2006

9888 GENESEE AVE, LA JOLLA, CA 92037(619) 277-9887(801) 253-9831 Get Directions Write a Review

NPPES record last updated: November 23, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Charles Vincent Ettari M.d. NPPES

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

DR. CHARLES VINCENT ETTARI M.D. (NPI 1629096631) is an individual psychiatry provider in La Jolla, California, licensed in California (G16786) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1629096631

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. CHARLES VINCENT ETTARICredential: M.D.

Location Address9888 GENESEE AVELa Jolla, CA 92037-1205

Mailing AddressPo Box 2216Del Mar, CA 92014-1516 · (619) 277-9887 · Fax (801) 253-9831

Phone(619) 277-9887

Fax(801) 253-9831

Sole ProprietorYes

Enumeration DateJuly 17, 2006

Last NPPES UpdateNovember 23, 2019

✔ NPI 1629096631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · G16786

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

9888 GENESEE AVE, La Jolla, CA 92037

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Other Identifiers 1

MedicaidOOG 167860CA

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.

MRS. KIERSTEN DUTRA RN

Registered Nurse

9888 GENESEE AVE
LA JOLLA, CA 92037

San Diego County (858) 834-1798

LA JOLLA RADIOLOGY MEDICAL GROUP THERAPY, INC

Clinic/Center (Oncology, Radiation)

9888 GENESEE AVE
LA JOLLA, CA 92037

San Diego County (760) 599-9545

JOSHUA JINHONG PARK PHARMD

Pharmacist

9888 GENESEE AVE
LA JOLLA, CA 92037

San Diego County (858) 305-4336

DR. MONTE TIM MELLON M.D. M.B.A.

Emergency Medicine

9888 GENESEE AVE
LA JOLLA, CA 92037

San Diego County (858) 626-6150

JAMES G. SCHWENDIG M.D.

Surgery (Trauma Surgery)

9888 GENESEE AVE, LJ-601
LA JOLLA, CA 92037

San Diego County (858) 626-6350

AMY EVENSTAD PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

9888 GENESEE AVE, LJ 18
LA JOLLA, CA 92037

San Diego County (858) 626-4606

RYAN FONG

Registered Nurse

9888 GENESEE AVE
LA JOLLA, CA 92037

San Diego County (858) 834-1798

CHRISTOPHER LUCAS WALSH M.D.

Internal Medicine

9888 GENESEE AVE
LA JOLLA, CA 92037

San Diego County (410) 428-7710

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 Ettari's NPI number?

The NPI number for Charles Ettari is 1629096631. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Charles Ettari located?

Charles Ettari practices at 9888 Genesee Ave, La Jolla, CA 92037. The listed phone number is (619) 277-9887.

What is Charles Ettari's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Charles Ettari was last updated on November 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.