IndividualActive
Charles Amezcua, M.D.
NPI 1245373992 · Anatomic Pathology Physician · Santa Rosa, CA
Provider details
- NPI number
- 1245373992
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- G81183 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
401 Bicentennial Way
Santa Rosa, CA 95403-2149
Phone: (707) 571-4686
Approximate (ZIP-level) locationGet directions
Mailing address
2800 Saint Paul Dr
Santa Rosa, CA 95405-8542
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2022-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.