Organization Active NPI

Robert Lance Charet. MD, Inc.

  • Ophthalmology Physician
  • Hawthorne, CA
National Provider Identifier
1043241714
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G72293 Issued in CA
Legal business name
ROBERT LANCE CHARET. MD, INC.
Practice address
12954 Hawthorne Blvd Ste 103
Hawthorne, CA 90250-4418
Phone
(310) 676-1373
NPI assigned
Jul 5, 2006
Last updated
Feb 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert Lance Charet, MDNPI 1356376180
Title
President
Phone
(310) 676-1373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G72293 CA Primary

Addresses

Primary practice location

12954 Hawthorne Blvd Ste 103
Hawthorne, CA 90250-4418

Mailing address

12954 Hawthorne Blvd Ste 103
Hawthorne, CA 90250-4418
Phone (310) 676-1373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100205000565 CA Part B Supplier - Clinic/Group Practice 6800939315 Receives reassigned benefits from 1 practitioner
Practice locations: Hawthorne, CA; Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

12954 Hawthorne Blvd
Ste 103
Hawthorne, CA 90250
Phone (310) 676-1373

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9218/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1043241714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12954 HAWTHORNE BLVD STE 103",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902504418",
            "telephone_number": "310-676-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12954 HAWTHORNE BLVD STE 103",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902504418",
            "telephone_number": "310-676-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT LANCE CHARET. MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "CHARET",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-676-1373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G72293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.