Provider Type Icon

DR. CHARLES KENNETH METZGER MD MBA NPI 1992796411


NPI Information

NPI: 1992796411
Provider Name: DR. CHARLES KENNETH METZGER, MD MBA
Classification: Urology - 208800000X
Entity Type: Individual
Address:
412 W CARROLL AVE
STE 200
GLENDORA, CA
ZIP 91741
Phone: (626) 335-0228
Get Directions

DR. Charles Kenneth Metzger, MD MBA is an urology in Glendora, CA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. Charles Kenneth Metzger, MD MBA NPI is 1992796411. 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:

412 W CARROLL AVE
STE 200
GLENDORA, CA
ZIP 91741-240
Phone: (626) 335-0228
Fax: (626) 914-9611

The enumeration date for this NPI number is 11/3/2005 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyG25299CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ72637ZMEDICAIDCALIFORNIA
2W1349AMEDICARE ID-TYPE UNSPECIFIED
3A42614MEDICARE UPIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.