Basic Information
Provider Information
NPI: 1356411268
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BATES
FirstName: CHARLES
MiddleName: C
NamePrefix: MR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 3738
Address2:  
City: SALINAS
State: CA
PostalCode: 939123738
CountryCode: US
TelephoneNumber: 8316491000
FaxNumber: 8316494966
Practice Location
Address1: 23625 WR HOLMAN HWY
Address2:  
City: MONTEREY
State: CA
PostalCode: 939405902
CountryCode: US
TelephoneNumber: 8316222708
FaxNumber: 8316222270
Other Information
ProviderEnumerationDate: 11/08/2006
LastUpdateDate: 10/21/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000XG47018CAY Allopathic & Osteopathic PhysiciansHospitalist 
207R00000XG47018CAN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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