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Charles Ettari, M.D.
NPI 1629096631 · Psychiatry Physician · La Jolla, CA
Charles Ettari, M.D. is a Psychiatry Physician provider in La Jolla, CA (NPI 1629096631).
Provider details
- NPI number
- 1629096631
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- G16786 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES 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
9888 Genesee Ave
La Jolla, CA 92037-1205
Phone: (619) 277-9887
Fax: (801) 253-9831
Street-level locationGet directions
Mailing address
Po Box 2216
Del Mar, CA 92014-1516
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2019-11-23
Frequently asked questions
- What is Charles Ettari's NPI number?
- Charles Ettari's National Provider Identifier (NPI) is 1629096631, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Ettari's specialty?
- Charles Ettari is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Charles Ettari located?
- Charles Ettari's practice location on file with NPPES is 9888 Genesee Ave, La Jolla, CA 92037-1205.
- What is Charles Ettari's phone number?
- The practice phone number listed in the NPPES registry for Charles Ettari is (619) 277-9887.
- Is Charles Ettari's NPI active?
- Yes — Charles Ettari's NPI (1629096631) is active in the NPPES registry as of the last update on 2019-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.