Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Emmet Stout Jr., MD, PHD

Individual provider Vascular & Interventional Radiology Physician · NPI 1679770994

Charles Emmet Stout Jr., MD, PHD is a Diagnostic Radiology in Riverside, California. Graduated from Loma Linda University School of Medicine in 2002, 24 years ago. Practices with California Neurointerventional Surgeons, Inc, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
24
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

4445 Magnolia Ave
Riverside, CA 92501-4135
Phone: (951) 338-4910
Fax: (833) 996-0004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence A100577 (CA)

Record details

NPI number1679770994
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorYes
NPI enumeratedJune 29, 2007
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice California Neurointerventional Surgeons, Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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