DR. CHARLES E. IMBUS MD NPI 1912999764

NPI Information

NPI: 1912999764
Provider Name: DR. CHARLES E. IMBUS, MD
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
665 W NAOMI AVE
SUITE 202
ARCADIA, CA
ZIP 91007
Phone: (626) 445-6275
Get Directions

DR. Charles E. Imbus, MD is a specialist in Arcadia, CA. The provider is 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. DR. Charles E. Imbus, MD NPI is 1912999764. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

665 W NAOMI AVE
SUITE 202
ARCADIA, CA
ZIP 91007-563
Phone: (626) 445-6275
Fax: (626) 445-3583

The NPI 1912999764 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/18/2005 and was last updated on 4/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	C34642	CALIFORNIA	No
2	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	C34642	CALIFORNIA	No
3	2084S0012X	Psychiatry & Neurology	Sleep Medicine	C34642	CALIFORNIA	No
4	2081N0008X	Physical Medicine & Rehabilitation	Neuromuscular Medicine	C34642	CALIFORNIA	No
5	202C00000X	Independent Medical Examiner		C34642	CALIFORNIA	No
6	2080S0012X	Pediatrics	Sleep Medicine	C34642	CALIFORNIA	No
7	174400000X	Specialist		C34642	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C34642	MEDICARE ID-TYPE UNSPECIFIED
2	A35684	MEDICARE UPIN
3	00C346420	MEDICAID	CALIFORNIA
4	756131315	OTHER		MEDICARE - RR PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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