CHARLES WAYNE PORTNEY (NPI# 1396720413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396720413 |
| Entity Type | Individual |
| Full Name | CHARLES WAYNE PORTNEY |
| Credential | M.D. |
| Practice Address |
2336 Santa Monica Blvd #100 Santa Monica CA 90404-2095 |
| Practice Telephone | 3108287870 |
| Practice Fax Number | 3108289790 |
| Mailing Telephone | 3108287870 |
| Mailing Fax Number | 3108289790 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G320840 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2336 SANTA MONICA BLVD #100 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-2095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972597607 | Marylee Amerian | Dermatology | 2336 Santa Monica Blvd, Suite 209, Santa Monica, CA 90404-2095 | 2005-09-08 |
| 1447623186 | Resolution Surgical, LLC | Clinic/Center | 2336 Santa Monica Blvd, Suite 206, Santa Monica, CA 90404-2095 | 2015-11-03 |
| 1003254061 | Premier Medical Group. Inc | Family Medicine | 2336 Santa Monica Blvd, Suite 304, Santa Monica, CA 90404-2095 | 2013-06-11 |
| 1881956837 | Mary Lee Amerian, Md A Medical Corp | Dermatology | 2336 Santa Monica Blvd, Suite 209, Santa Monica, CA 90404-2095 | 2012-06-14 |
| 1689934465 | Katie Hu | Family Medicine | 2336 Santa Monica Blvd, Suite 301, Santa Monica, CA 90404-2095 | 2012-05-25 |
| 1205125739 | West Los Angeles Anesthesia Services LLC | Anesthesiologist Assistant | 2336 Santa Monica Blvd, Suite 204, Santa Monica, CA 90404-2095 | 2011-04-05 |
| 1497044341 | Justin Graham Laube | Internal Medicine | 2336 Santa Monica Blvd, Santa Monica, CA 90404-2095 | 2011-03-31 |
| 1285949198 | Louis Ravitz Md Inc | Internal Medicine | 2336 Santa Monica Blvd, Suite 207, Santa Monica, CA 90404-2095 | 2010-08-16 |
| 1982834420 | Endo Anesthesia Services, Inc | Internal Medicine | 2336 Santa Monica Blvd, Suite 204, Santa Monica, CA 90404-2095 | 2009-07-17 |
| 1750519401 | Resolution Imaging Medical Corporation | Radiology | 2336 Santa Monica Blvd, #206, Santa Monica, CA 90404-2095 | 2009-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487100236 | Marguerite Maguire | Psychiatry & Neurology | 2444 Wilshire Blvd Ste 414, Santa Monica, CA 90403-5811 | 2016-08-31 |
| 1942696042 | Natassia Gaznick | Psychiatry & Neurology | 2730 Wilshire Blvd Ste 350, Santa Monica, CA 90403-4752 | 2015-04-15 |
| 1417393588 | Lawrence Herbert Warick Md | Psychiatry & Neurology | 2444 Wilshire Blvd., Suite 418, Lawrence H. Warick, M.d. Phd., Inc., Santa Monica, CA 90403 | 2013-05-16 |
| 1427329028 | F. David Rudnick, Md, A Medical Corporation | Psychiatry & Neurology | 501 Santa Monica Blvd Ste 509, Santa Monica, CA 90401-2432 | 2012-01-13 |
| 1922398478 | Chelsea L Neumann | Psychiatry & Neurology | 2730 Wilshire Blvd Ste 650-2, Santa Monica, CA 90403-4743 | 2011-04-17 |
| 1073843637 | Stacy A Cohen | Psychiatry & Neurology | 2730 Wilshire Blvd. #350, Santa Monica, CA 90403 | 2010-01-05 |
| 1134458508 | Barnet David Malin | Psychiatry & Neurology | 2230 25th St, Santa Monica, CA 90405-1815 | 2009-12-15 |
| 1861633018 | Lawrence M Warick Md, Inc | Psychiatry & Neurology | 2444 Wilshire Blvd., Suite 418, Santa Monica, CA 90403 | 2009-03-18 |
| 1821238270 | Loren Dexter Woodson | Psychiatry & Neurology | 926 Berkeley Street, Santa Monica, CA 90403-2308 | 2009-02-25 |
| 1801051248 | Neevon Carl Esmaili | Psychiatry & Neurology | 2730 Wilshire Blvd Ste 650, Santa Monica, CA 90403-4746 | 2008-07-24 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
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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.