Robert Lance Charet, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G72293 Issued in CA

Practice address

12954 Hawthorne Blvd
Suite 103
Hawthorne, CA 90250-4418

Phone

(310) 676-1373

Fax

(310) 676-1914

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Ophthalmology

Education

State University of Ny Upstate Medical University, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South la Eye ClinicGroup PAC ID 6103347596, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9218/brand/1/csg/1/fhir/r4
• Direct secure messaging: robert.charet.1@23613.direct.athenahealth.com

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.

• Robert Lance Charet. MD, Inc.

  • Ophthalmology Physician
  • Hawthorne, CA
  • NPI 1043241714
  Medicare reassignment NPD Authorized official
• South la Eye Clinic

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1710706874
  Medicare reassignment Care Compare group NPD
• Prime Healthcare Centinela, LLC

  dba Centinela Hospital Medical Center

  • General Acute Care Hospital
  • Inglewood, CA
  • NPI 1336328244
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1356376180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12954 HAWTHORNE BLVD",
            "address_2": "SUITE 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",
            "address_2": "SUITE 103",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902504418",
            "telephone_number": "310-676-1373",
            "fax_number": "310-676-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARET",
        "first_name": "ROBERT",
        "middle_name": "LANCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G72293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G722930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Celine Heather Cerda, RN
• Chach Medical Aid
• Navneet Chagger, FDN-P
• Blair Marie Chambers, RN
• Jennifer R. Chan, M.D.
• Charles L. Foster Jr. DDS Inc. (Easy and Affordable Kids Dental Care)
• Christine Chato, PHARMD
• Chaux & Gomez DDS Inc (Good Neighbor Dental)
• Erick Che
• Xin Chen, M.D.

• Ophthalmology Physician in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.