CHARLES SANFORD EGESDAL M.D.
NPI 1861925471
Pediatrics in Santa Ana, CA

Q: What is Charles Egesdal's NPI number?

The NPI number for Charles Egesdal is 1861925471. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Q: What is Charles Egesdal's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Egesdal was last updated on September 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 10, 2017PECOS Enrolled

3501 S HARBOR BLVD, SANTA ANA, CA 92704(714) 929-2300 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2021, Apr 10, 2017 (2 updates tracked since 2017).

On this page

About Charles Sanford Egesdal M.d. NPPES

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

CHARLES SANFORD EGESDAL M.D. (NPI 1861925471) is an individual pediatrics provider in Santa Ana, California, licensed in California (A157470) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861925471

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameCHARLES SANFORD EGESDALCredential: M.D.

Location Address3501 S HARBOR BLVDSanta Ana, CA 92704-6919

Mailing Address3501 S Harbor BlvdSanta Ana, CA 92704-6919 · (714) 929-2300

Phone(714) 929-2300

Sole ProprietorNo

Enumeration DateApril 10, 2017

Last NPPES UpdateSeptember 20, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2021

✔ NPI 1861925471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A157470

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3501 S HARBOR BLVD, Santa Ana, CA 92704

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Sanford Egesdal M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBIN ARASH HATAM D.O.

Internal Medicine