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MR. CHARLES PHILLIP ANDREW FAGAN
NPI 1720466626
Case Manager/Care Coordinator in Azusa, CA

Active since May 12, 2015
23701 E EAST FORK RD, AZUSA, CA 91702(626) 250-3290 Get Directions Write a Review

NPPES record last updated: May 12, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Charles Phillip Andrew Fagan NPPES

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

MR. CHARLES PHILLIP ANDREW FAGAN (NPI 1720466626) is an individual case manager/care coordinator provider in Azusa, California and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1720466626
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameMR. CHARLES PHILLIP ANDREW FAGAN
Location Address23701 E EAST FORK RDAzusa, CA 91702-1477
Mailing Address1090 Fremont StPomona, CA 91766-5028 · (909) 631-7386
Phone(626) 250-3290
Sole ProprietorYes
Enumeration DateMay 12, 2015
✔ NPI 1720466626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
23701 E EAST FORK RD, Azusa, CA 91702
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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.

KELLY LORENE HEIMDAHL
Case Manager/Care Coordinator
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 250-3290
JUSTIN M CONTRERAS
Case Manager/Care Coordinator
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 250-3291
MR. MARSHALL DEAN GODFREY
Counselor (Addiction (Substance Use Disorder))
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 910-1202
MS. CYNTHIA ORONA
Case Manager/Care Coordinator
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 250-3291
SCOTT LEE SMITH CADC-I
Case Manager/Care Coordinator
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 250-3300
BRENDA GISSELLE ALVAREZ
Case Manager/Care Coordinator
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 250-3300
MS. LYNETTE KATHLEEN SINGLETON CADACII
Case Manager/Care Coordinator
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 250-3290
BROOKLYNN GARCIA RADT
Counselor (Addiction (Substance Use Disorder))
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 910-1202

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 Fagan's NPI number?

The NPI number for Charles Fagan is 1720466626. It was assigned to this individual provider in the NPPES registry on May 12, 2015.

Where is Charles Fagan located?

Charles Fagan practices at 23701 E East Fork Rd, Azusa, CA 91702. The listed phone number is (626) 250-3290.

What is Charles Fagan's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Charles Fagan was last updated on May 12, 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.