DR. CHARLES WALTER BUGG (NPI# 1144690777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144690777 |
| Entity Type | Individual |
| Full Name | DR. CHARLES WALTER BUGG |
| Credential | M.D., PH.D. |
| Practice Address |
100 W California Blvd Pasadena CA 91125-6897 |
| Practice Telephone | 6263975116 |
| Mailing Telephone | 6263975116 |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2020-04-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | R5849 | TX | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | A137987 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 N State St, Lac Usc Medical Ctr, Gme Office, Clinic Tower A7d, Los Angeles, CA 900331029 | 3232266667 | 3232266454 |
| 3201 S Water St, Burnet, TX 78611 | 5127153000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417920620 | Charles Edward Bugg Jr. | Urology | 3485 Independence Dr, Homewood, AL 35209-5603 | 2006-02-08 |
| Street Address |
100 W CALIFORNIA BLVD |
| City | PASADENA |
| State | CA |
| Zip Code | 91125-6897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023019460 | David Michael Ulick | Emergency Medicine | 100 W California Blvd, Department of Emergency Medicine, Pasadena, CA 91109 | 2005-08-09 |
| 1477150381 | Julia Yehudit Grinblat | Registered Nurse | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-10-04 |
| 1487262846 | Sharon Marie Sullivan | Licensed Psychiatric Technician | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-07-21 |
| 1073121786 | Chelsea Marie Lam | Student in an Organized Health Care Education/Training Program | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-07-20 |
| 1629696182 | Claudette Bradley | Registered Nurse | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-07-10 |
| 1962020420 | Rachona Meza | Registered Nurse | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-07-10 |
| 1417573031 | Carolyn Krystal Kim | Student in an Organized Health Care Education/Training Program | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-06-19 |
| 1952927584 | Jessica Hsueh | Student in an Organized Health Care Education/Training Program | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-06-19 |
| 1396361929 | Raissa I Chua | Student in an Organized Health Care Education/Training Program | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-06-19 |
| 1073139630 | Khoa Nguyen | Student in an Organized Health Care Education/Training Program | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952810772 | Divina Gracia P. Bautista | Nurse Practitioner | 1239 Aden Road, Pasadena, CA 91125 | 2017-09-25 |
| 1881103877 | Alice M. Sogomonian | Nurse Practitioner | 1239 Arden Road, Pasadena, CA 91125 | 2017-09-22 |
| 1497259311 | Shelby Daly | Specialist/Technologist | 1200 E California Blvd # Mc 1/2, Pasadena, CA 91125-0001 | 2018-03-23 |
| 1841379575 | Karla Fabiola Hernandez | Social Worker | 1200 E California Blvd, Mail Code 5-71, Pasadena, CA 91125-0001 | 2006-11-03 |
| 1346896917 | Sarah Alway | Specialist/Technologist | 1200 E California Blvd, Pasadena, CA 91125-0001 | 2019-08-10 |
| 1306348149 | Ryan Hughes | Specialist/Technologist | 1200 E California Blvd, Pasadena, CA 91125-0001 | 2018-03-07 |
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841704848 | Medexpress Urgent Care Texas, P.a. | Emergency Medicine | 4750 Fairmont Pkwy, Pasadena, TX 77504-3330 | 2017-11-29 |
| 1578829438 | Kevin W Chu | Emergency Medicine | 100 West California Blvd, Unit 25, Pasadena, CA 91105 | 2012-04-05 |
| 1528367174 | Huma Khan | Emergency Medicine | 2079 Monte Vista St, Pasadena, CA 91107 | 2011-03-22 |
| 1811207384 | Josephine Bufalino | Emergency Medicine | 293 S Grand Ave, Pasadena, CA 91105-1623 | 2010-10-18 |
| 1235364167 | Allison Daum | Emergency Medicine | 5161 E Sam Houston Pkwy S, Pasadena, TX 77505-3915 | 2009-05-21 |
| 1972629707 | Lawrence Jeffrey Rudd | Emergency Medicine | 1414 Ridge Way, Pasadena, CA 91106-4516 | 2007-03-22 |
| 1902902257 | Stanton C. Packard | Emergency Medicine | 4002 Burke Rd, Pasadena, TX 77504-3451 | 2006-09-15 |
| 1386758746 | James Daniel Luna | Emergency Medicine | 100 California Blvd, Pasadena, CA 91105-1510 | 2006-08-19 |
| 1699792127 | Robert Alan Yoho | Emergency Medicine | 797 S Arroyo Pkwy, Pasadena, CA 91105-3234 | 2006-07-17 |
| 1689618464 | Dirk De Brito | Emergency Medicine | 751 N Fair Oaks Ave, Suite 300, Pasadena, CA 91103-3069 | 2006-06-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.