Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES HENRY BLACK IV, D.O.
Active Sole ProprietorOrthopaedic Surgery · SONORA, CA
Registration Details
- NPI Number
- 1790988087
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2007 (18.884132476779 yrs)
- Last Updated
- Jan 12, 2026
- Licenses
-
20A24530 (CA)5101016776 (MI)23113 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1000 GREENLEY RDSONORA, CA, 953705200Browse CA providers · Browse ZIP 95370
- Phone
- 2095365054
- Primary Specialty
-
Orthopaedic Surgery
207X00000X
- Additional Specialty
- Orthopaedic Surgery
- Additional Specialty
- Orthopaedic Surgery
Other Orthopaedic Surgery Providers in SONORA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. AIRELL LEIGHTON NYGAARD | M.D. | 1417920760 |
| DR. JOHN PATRICK NELLIGAN III | MD | 1952491151 |
| DR. JAMES IVY BOYD III | MD | 1407903636 |
| MS. KEREN AKAKPO | PA-C | 1639627938 |
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.