CHARLES L EGAN (NPI# 1952371460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952371460 |
| Entity Type | Individual |
| Full Name | CHARLES L EGAN |
| Credential | D.O. |
| Practice Address |
18436 Roscoe Blvd Northridge CA 91325 |
| Mailing Address |
4100 Guardian St Ste 205 Simi Valley CA 93063-6721 |
| Practice Telephone | 8184351400 |
| Mailing Telephone | 8555044544 |
| Mailing Fax Number | 8055772018 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2018-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
20A16281 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
18436 ROSCOE BLVD |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043650443 | Sean Spencer London | Radiology | 18436 Roscoe Blvd, Northridge, CA 91325-4107 | 2013-06-28 |
| 1700229994 | Jeremy Wong Chin | Radiology | 18436 Roscoe Blvd, Northridge, CA 91325-4107 | 2013-04-08 |
| 1255692935 | Chris Bedford | Radiology | 18436 Roscoe Blvd, Northridge, CA 91325 | 2012-05-30 |
| 1295093375 | Ryan Franke | Radiology | 18436 Roscoe Blvd, Northridge, CA 91325-4107 | 2012-04-26 |
| 1710243209 | Anish Jagdish Patel | Radiology | 18436 Roscoe Blvd, Northridge, CA 91325 | 2012-04-09 |
| 1831486539 | Geraldine Chang | Radiology | 18436 Roscoe Blvd, Northridge, CA 91325-4107 | 2011-06-30 |
| 1508165960 | Philip Wing-thai Ho | Radiology | 18436 Roscoe Blvd, Northridge, CA 91325-4107 | 2011-03-23 |
| 1437386000 | Steven Russell Kussman | Internal Medicine | 18436 Roscoe Blvd, Northridge, CA 91325-4107 | 2009-06-22 |
| 1740414382 | Lucas B Payor | Radiology | 18436 Roscoe Blvd, Northridge, CA 91325-4107 | 2009-05-12 |
| 1528221983 | Raymond Adly Azab | Radiology | 18436 Roscoe Blvd, Northridge, CA 91325-4107 | 2008-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346961 | Patricia Yamilet Morales | Registered Nurse | 18300 Roscoe Blvd Dignity Health- Northridge Hospital M, Northridge, CA 91325 | 2020-11-02 |
| 1790342897 | Northridge Kidney Center, LLC | Clinic/Center | 17710 Roscoe Blvd, Northridge, CA 91325 | 2019-05-23 |
| 1063078376 | Ozlem Alper | Student in an Organized Health Care Education/Training Program | 18497 Dearborn St, Unit 112, Northridge, CA 91325 | 2019-05-13 |
| 1144883489 | Better Sober | Clinic/Center | 9339 Louse Ave, Northridge, CA 91325 | 2019-04-22 |
| 1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
| 1043713969 | Poly-med Pharmacy Inc | Pharmacy | 17313 Roscoe Blvd, Northridge, CA 91325 | 2018-03-16 |
| 1982151940 | Maria Dakessian | Dentist | 18250 Roscoe Blvd Ste 345, Northridge, CA 91325 | 2016-09-07 |
| 1487019469 | Beshoy Gerges | Pharmacist | 8254 White Oak Ave Unit 4, Northridge, CA 91325 | 2015-12-17 |
| 1235520305 | Gema Bautista | Social Worker | 8550 Balboa Blvd Ste 216, Northridge, CA 91325 | 2015-02-11 |
| 1083018873 | Sosann Haider | Pharmacist | 18444 Plummer St., Northridge, CA 91325 | 2014-10-22 |
| Find all providers in zip 91325 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558591933 | Amir Kashefi | Radiology | 18350 Roscoe Blvd # 307, Northridge, CA 91325 | 2009-07-20 |
| 1659394864 | Parizad Hooshi | Radiology | 19871 Nordhoff St, Northridge, CA 91324-3331 | 2006-07-26 |
| 1699389130 | Kashefi Md Inc | Radiology | 18350 Roscoe Blvd Ste 307, Northridge, CA 91325-4159 | 2020-09-02 |
| 1730525353 | Parizad Hooshi Md Inc | Radiology | 19871 Nordhoff St, Northridge, CA 91324-3331 | 2013-05-22 |
| 1700229994 | Jeremy Wong Chin | Radiology | 18436 Roscoe Blvd, Northridge, CA 91325-4107 | 2013-04-08 |
| 1255692935 | Chris Bedford | Radiology | 18436 Roscoe Blvd, Northridge, CA 91325 | 2012-05-30 |
| 1295093375 | Ryan Franke | Radiology | 18436 Roscoe Blvd, Northridge, CA 91325-4107 | 2012-04-26 |
| 1710243209 | Anish Jagdish Patel | Radiology | 18436 Roscoe Blvd, Northridge, CA 91325 | 2012-04-09 |
| 1831486539 | Geraldine Chang | Radiology | 18436 Roscoe Blvd, Northridge, CA 91325-4107 | 2011-06-30 |
| 1508165960 | Philip Wing-thai Ho | Radiology | 18436 Roscoe Blvd, Northridge, CA 91325-4107 | 2011-03-23 |
| Find all providers in NORTHRIDGE | ||||
| City | NORTHRIDGE |
| Zip Code | 91325 |
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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.