Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES A AMEZCUA, M.D.
Active Sole ProprietorAnatomic Pathology · SANTA ROSA, CA
Registration Details
- NPI Number
- 1245373992
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 14, 2007 (19.190791092762 yrs)
- Last Updated
- Feb 11, 2022
- License
-
G81183 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
401 BICENTENNIAL WAYSANTA ROSA, CA, 954032149Browse CA providers · Browse ZIP 95403
- Phone
- 7075714686
- Primary Specialty
-
Anatomic Pathology
207ZP0101X
Other Anatomic Pathology Providers in SANTA ROSA, CA
| Name | Credential | NPI |
|---|---|---|
| ROBERT R WRIGHT | MD | 1780644799 |
| JOHN F. KUNKEL | MD | 1013091099 |
| ANDREW Z. MIKLOS | MD | 1538233143 |
| TIFFANY A. CAMARILLO | MD | 1396819611 |
| JELENA BERENA | MD | 1891849550 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.