MEDICARE: CHARLES ARBIE GARRETSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	G86610	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G86610	OTHER	CA	STATE LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144284373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES ARBIE GARRETSON MD

Provider Business Mailing Address
First Line	:	1900 ORO DAM BLVD E STE 12
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95966-5934
Country	:	US
Telephone Number	:	304-610-7267
Fax Number	:	530-898-1204

Provider Business Practice Location Address
First Line	:	9792 LIVE OAK BLVD STE E
Second Line	:
City	:	LIVE OAK
State	:	CA
Zip	:	95953-2381
Country	:	US
Telephone Number	:	304-610-7267
Fax Number	:	530-898-1204

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2006
Last Update Date	:	12/10/2025

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