IndividualActive
Charles Wilson, M.D.
NPI 1720128366 · Psychiatry Physician · Santa Fe Springs, CA
Provider details
- NPI number
- 1720128366
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- A18240 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 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
11721 Telegraph Rd
Santa Fe Springs, CA 90670-3674
Phone: (562) 949-8455
Fax: (562) 949-4807
Street-level locationGet directions
Mailing address
Po Box 3210
La Habra, CA 90632-3210
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.