Active NPI
Jean-Esdrace Germain Charles, DR.
- Drama Therapist
- Los Angeles, CA
National Provider Identifier
1194309237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Drama Therapist
- License
- 00000000
- Practice address
- 7715 W Sunset Blvd FRNT
Los Angeles, CA 90046-3912 - Phone
- (818) 209-8147
- NPI assigned
- May 5, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Drama Therapist | 101200000X | 00000000 | FL | Primary |
Addresses
Primary practice location
7715 W Sunset Blvd FRNT
Los Angeles, CA 90046-3912
Mailing address
145 S Glenoaks Blvd # 303
Burbank, CA 91502-1315
Phone (818) 209-8147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000000 | FL | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620172800000",
"number": "1194309237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 S GLENOAKS BLVD # 303",
"city": "BURBANK",
"state": "CA",
"postal_code": "915021315",
"telephone_number": "818-209-8147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7715 W SUNSET BLVD FRNT",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900463912",
"telephone_number": "818-209-8147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLES",
"first_name": "JEAN-ESDRACE",
"middle_name": "GERMAIN",
"credential": "DR.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-05",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "101200000X",
"taxonomy_group": "",
"desc": "Drama Therapist",
"state": "FL",
"license": "00000000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.