CHARLES V. ETTARI, M.D., INC.
NPI 1629098520
Psychiatry & Neurology - Psychiatry in La Jolla, CA

Q: What is Charles V. Ettari, M.D., Inc.'s NPI number?

The NPI number for Charles V. Ettari, M.D., Inc. is 1629098520. It was assigned to this organization in the NPPES registry on July 20, 2006.

Q: What is Charles V. Ettari, M.D., Inc.'s specialty?

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

Active since July 20, 2006

9834 GENESEE AVE, LA JOLLA, CA 92037(619) 277-9887(801) 253-9831 Get Directions Write a Review

NPPES record last updated: March 4, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Charles V. Ettari, M.d., Inc. NPPES

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

CHARLES V. ETTARI, M.D., INC. (NPI 1629098520) is a healthcare organization registered as a psychiatry in La Jolla, California and active in the NPI registry since July 2006. The organization lists Shelly Lynn Daugherty, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1629098520

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameCHARLES V. ETTARI, M.D., INC.

Location Address9834 GENESEE AVELa Jolla, CA 92037-1223

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

Phone(619) 277-9887

Fax(801) 253-9831

Organization SubpartNo

Authorized OfficialShelly Lynn DaughertyOffice Manager · (619) 277-9887

Enumeration DateJuly 20, 2006

Last NPPES UpdateMarch 4, 2015

✔ NPI 1629098520 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.

9834 GENESEE AVE, La Jolla, CA 92037

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Other Identifiers 2

Medicare UPINA90450CA

MedicaidOOG167860CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DAVID SCOTT MICHELSON MD

Ophthalmology

9834 GENESEE AVE, SUITE 200
LA JOLLA, CA 92037

San Diego County (858) 457-3050

DR. ERIC HONG M.D.

Internal Medicine (Cardiovascular Disease)

9834 GENESEE AVE, SUITE 300
LA JOLLA, CA 92037

San Diego County (858) 824-2900

HAILEY ENGLERT SLP

Speech-Language Pathologist

9834 GENESEE AVE
LA JOLLA, CA 92037

San Diego County (858) 626-4444

SCOTT R MILLER MD FACS APC

Plastic Surgery

9834 GENESEE AVE, SUITE 210
LA JOLLA,, CA 92037

San Diego County (858) 453-3133

PAUL E MICHELSON MD, INC

Ophthalmology

9834 GENESEE AVE, SUITE 200
LA JOLLA, CA 92037

San Diego County (858) 457-3050

MARILYN SARA FREEMAN PH.D., MFT

Marriage & Family Therapist

9834 GENESEE AVE, STE. 427
LA JOLLA, CA 92037

San Diego County (858) 502-5553

LA JOLLA NEUROSURGICAL ASSOCIATES A MEDICAL CORPORATION

Specialist

9834 GENESEE AVE, SUITE #411
LA JOLLA, CA 92037

San Diego County (858) 677-1755

FREDERICK J DE LA VEGA, MD

Specialist

9834 GENESEE AVE, 411
LA JOLLA, CA 92037

San Diego County (858) 677-1755

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 V. Ettari, M.D., Inc.'s NPI number?

The NPI number for Charles V. Ettari, M.D., Inc. is 1629098520. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is Charles V. Ettari, M.D., Inc. located?

Charles V. Ettari, M.D., Inc. is located at 9834 Genesee Ave, La Jolla, CA 92037. The listed phone number is (619) 277-9887.

What is Charles V. Ettari, M.D., Inc.'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 V. Ettari, M.D., Inc. was last updated on March 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.