Charisa Ann Ware, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

264786 Issued in CA

Practice address

8142 Sunland Blvd
Sun Valley, CA 91352-3948

Phone

(818) 582-8832

Fax

(818) 582-8836

NPI assigned

Jun 24, 2019

Last updated

Jul 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• The Teen Project, Inc.

  dba Freehab CRTP

  • Mental Illness Community Based Residential Treatment Facility
  • Sun Valley, CA
  • NPI 1457908618
  NPD
• Phoenix Houses of Los Angeles, Inc.

  • Substance Abuse Rehabilitation Facility
  • Venice, CA
  • NPI 1497809735
  NPD (past)
• The Teen Project, Inc.

  • Substance Abuse Rehabilitation Facility
  • Sun Valley, CA
  • NPI 1194677880
  NPD (past)

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1417518200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 SUNLAND BLVD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913523948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8142 SUNLAND BLVD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913523948",
            "telephone_number": "818-582-8832",
            "fax_number": "818-582-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "CHARISA",
        "middle_name": "ANN",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "264786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Villarreal
• Vine Valley Homes II
• Vine Valley Homes-Sharp
• Vista Home Health Care, Inc.
• Walden Medical Group, Inc (Pacifica Emergency Specialist Physicians Medical Group)
• Aya Janine Washington
• Robin Waters
• Wealtha Homes Inc.
• Wilshire Hospice, Inc
• Annie Wong, PT, DPT

• Licensed Vocational Nurse in Sun Valley, CA
• Providers in Sun Valley, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.