What is Charles Ethelbah's NPI number?

Charles Ethelbah's National Provider Identifier (NPI) is 1447125885, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Charles Ethelbah's specialty?

Charles Ethelbah is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).

Where is Charles Ethelbah located?

Charles Ethelbah's practice location on file with NPPES is 1777 Buckman Springs Rd, Campo, CA 91906-2022.

What is Charles Ethelbah's phone number?

The practice phone number listed in the NPPES registry for Charles Ethelbah is (619) 478-5696.

Is Charles Ethelbah's NPI active?

Yes — Charles Ethelbah's NPI (1447125885) is active in the NPPES registry as of the last update on 2025-10-07.

IndividualActive

Charles Ethelbah, CMPSS

NPI 1447125885 · Peer Specialist · Campo, CA

Charles Ethelbah, CMPSS is a Peer Specialist provider in Campo, CA (NPI 1447125885).

Provider details

NPI number: 1447125885
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Credential: CMPSS
Sex: Male
Sole proprietor: No
License: MPSS-ZKDUCT (CA)

Specialties & taxonomies

Peer SpecialistPrimary175T00000XLicense MPSS-ZKDUCT (CA)
Other Service Providers

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1777 Buckman Springs Rd

Campo, CA 91906-2022

Phone: (619) 478-5696

Street-level locationGet directions

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Mailing address