Individual provider Active NPI

Charlene Elizabeth Naves Jardin, M.D

  • Pediatrics Physician
  • Mission Viejo, CA
National Provider Identifier
1043743669
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A184327 Issued in CA
Practice address
23120 Alicia Pkwy # 230
Mission Viejo, CA 92692-1210
Phone
(949) 391-9424
Fax
(949) 284-7840
NPI assigned
Apr 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A184327 CA Primary

Addresses

Primary practice location

23120 Alicia Pkwy # 230
Mission Viejo, CA 92692-1210

Mailing address

23120 Alicia Pkwy # 230
Mission Viejo, CA 92692-1210
Phone (949) 391-9424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250813001105 CA Practitioner - Pediatric Medicine 7618475146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

393 E Walnut St
Pasaden, CA 91188-0001

393 E Walnut St 3Rd FL
Pasadena, CA 91188-0001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A184327CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SP Pediatrics Pediatrics CurrentSince Aug 10, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jun 23, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jun 23, 2025 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients

Locations

5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088

23120 Alicia Pkwy
#230
Mission Viejo, CA 92692
Phone (949) 391-9424

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

Interoperability endpoints

  • Direct secure messaging: charlene.naves@direct.myhealthep.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1043743669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23120 ALICIA PKWY # 230",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921210",
            "telephone_number": "949-391-9424",
            "fax_number": "949-284-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23120 ALICIA PKWY # 230",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921210",
            "telephone_number": "949-391-9424",
            "fax_number": "949-284-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVES JARDIN",
        "first_name": "CHARLENE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A184327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.