Healthcare Provider Details

I. General information

NPI: 1780668947
Provider Name (Legal Business Name): CHARLES SEAMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2005
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1261 LINCOLN AVE STE 214
SAN JOSE CA
95125-3031
US

IV. Provider business mailing address

39 EDGEWOOD RD
REDWOOD CITY CA
94062-1713
US

V. Phone/Fax

Practice location:
  • Phone: 415-244-3706
  • Fax:
Mailing address:
  • Phone: 415-244-3706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberG53274
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License NumberG053274
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: