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

Dr. Charles E Niesen, MD

Individual provider Specialist · NPI 1710915830

Dr. Charles E Niesen, MD is a Specialist in Pasadena, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

960 E Green St Ste L11
Pasadena, CA 91106-2412
Phone: (626) 599-7600
Fax: (626) 599-7601
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A54329 (CA)

Record details

NPI number1710915830
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 29, 2006
Last updated in NPPESOctober 31, 2016
Mailing address960 E Green St, Suite L11, Pasadena, CA 91106-2412

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