DR. CHARLES E NIESEN M.D.
NPI 1710915830
Specialist in Pasadena, CA

Active since June 29, 2006
960 E GREEN ST, SUITE L11, PASADENA, CA 91106(626) 599-7600(626) 599-7601 Get Directions Write a Review

NPPES record last updated: October 31, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Charles E Niesen M.d. NPPES

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

DR. CHARLES E NIESEN M.D. (NPI 1710915830) is an individual specialist in Pasadena, California, licensed in California (A54329) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1710915830
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. CHARLES E NIESENCredential: M.D.
Location Address960 E GREEN ST, SUITE L11Pasadena, CA 91106-2412
Mailing Address960 E Green St, Suite L11Pasadena, CA 91106-2412 · (626) 599-7600 · Fax (626) 599-7601
Fax(626) 599-7601
Sole ProprietorYes
Enumeration DateJune 29, 2006
Last NPPES UpdateOctober 31, 2016
NPI 1710915830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · A54329
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
960 E GREEN ST, Pasadena, CA 91106

Other Identifiers 1

Medicare UPINF73927CA

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.

Audiologist
960 E GREEN ST, SUITE 101
PASADENA, CA 91106
Clinic/Center (Ambulatory Surgical)
960 E GREEN ST, SUITE 110
PASADENA, CA 91106
Dermatology (MOHS-Micrographic Surgery)
960 E GREEN ST, STE 330
PASADENA, CA 91106
Pediatrics
960 E GREEN ST, SUITE 109
PASADENA, CA 91106
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
960 E GREEN ST, #101
PASADENA, CA 91106
Plastic Surgery
960 E GREEN ST, SUITE 168
PASADENA, CA 91106
Marriage & Family Therapist
960 E GREEN ST, #112
PASADENA, CA 91106
Chiropractor
960 E GREEN ST, SUITE L-3
PASADENA, CA 91106

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 Niesen's NPI number?

The NPI number for Charles Niesen is 1710915830. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Charles Niesen located?

Charles Niesen practices at 960 E Green St Suite L11, Pasadena, CA 91106. The listed phone number is (626) 599-7600.

What is Charles Niesen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Charles Niesen was last updated on October 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.