CHARLES MARTIN ELBOIM M.D.
NPI 1770672610
Surgery in Santa Rosa, CA

Q: What is Charles Elboim's NPI number?

The NPI number for Charles Elboim is 1770672610. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Q: What is Charles Elboim's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Elboim was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 October 11, 2006

121 SOTOYOME ST, SANTA ROSA, CA 95405(707) 525-6180(707) 521-3854 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Charles Martin Elboim M.d. NPPES

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

CHARLES MARTIN ELBOIM M.D. (NPI 1770672610) is an individual surgery provider in Santa Rosa, California, licensed in California (C41968) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1770672610

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameCHARLES MARTIN ELBOIMCredential: M.D.

Location Address121 SOTOYOME STSanta Rosa, CA 95405-4823

Mailing Address121 Sotoyome StSanta Rosa, CA 95405-4823 · (707) 525-6180 · Fax (707) 521-3854

Phone(707) 525-6180

Fax(707) 521-3854

Sole ProprietorNo

Enumeration DateOctober 11, 2006

Last NPPES UpdateJanuary 25, 2021

NPPES CertifiedJanuary 25, 2021

✔ NPI 1770672610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in CA · C41968

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License C41968 (CA)

121 SOTOYOME ST, Santa Rosa, CA 95405

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Other Identifiers 1

Medicaid00C419680CA

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 HOWARD SCHMIDT M.D.

Radiology (Diagnostic Radiology)