Active NPI
James F Charles, PA-C
- Medical Physician Assistant
- Yakima, WA
National Provider Identifier
1235153255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA10003459
- Practice address
- 209 S 12TH Ave
Yakima, WA 98902-3110 - Phone
- (509) 577-4600
- Fax
- (509) 577-4619
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA10003459 | WA | Primary |
Addresses
Primary practice location
209 S 12TH Ave
Yakima, WA 98902-3110
Mailing address
732 Summitview Ave # 621
Yakima, WA 98902-3032
Phone (509) 573-3448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8383333 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yakima Hma Physician Management LLC | Past | Accepting new patients | |
| Yakima Emergency Group a Professional Limited Liability Com | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Yakima, WA
- NPI 1275843880
-
- Family Medicine Physician
- Yakima, WA
- NPI 1730139510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231459200000",
"number": "1235153255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 SUMMITVIEW AVE # 621",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023032",
"telephone_number": "509-573-3448",
"fax_number": "509-574-4481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 S 12TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023110",
"telephone_number": "509-577-4600",
"fax_number": "509-577-4619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLES",
"first_name": "JAMES",
"middle_name": "F",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2009-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA10003459",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8383333",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.