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

Dr. Charles N Headrick, MD

Individual provider Colon & Rectal Surgery Physician · NPI 1265537831

Dr. Charles N Headrick, MD is a General Surgery in Tarzana, California. Graduated from University of Texas Medical School at Houston in 1984, 42 years ago. Practices with Jeffrey P Lake MD Inc, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
42
Trained at
University of Texas Medical School at Houston
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

5525 Etiwanda Ave #201
Tarzana, CA 91356
Phone: (818) 996-8505
Fax: (818) 996-8503
Show map & directions

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

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence A 48418 (CA)

Record details

NPI number1265537831
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 14, 2006
Last updated in NPPESApril 15, 2009

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated 1984 (42 years in practice)
Group practice Jeffrey P Lake Md Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount