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Charles Johnson Ethelbah, CMPSS

Peer Specialist in Campo, CA · enumerated 2025 · practices at San Diego Freedom Ranch, Inc..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1447125885

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Registry record

Entity type Individual (Type 1)
Name Charles Johnson Ethelbah
Credential CMPSS
Sex Male
Practice address 1777 Buckman Springs Rd, Campo, CA, 91906
Phone (619) 478-5696
Enumeration date Oct 7, 2025
Last updated in NPPES Oct 7, 2025

Taxonomy & licenses

175T00000X Peer Specialist Other Service Providers · License MPSS-ZKDUCT (CA) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Charles Ethelbah practice?
The practice location on file with NPPES is in Campo, CA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Charles Ethelbah?
The National Provider Identifier (NPI) for Charles Ethelbah is 1447125885, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-07.