Individual provider Active NPI

Elisha Denise Charest, NP

  • Family Nurse Practitioner
  • Whittier, CA
National Provider Identifier
1487477162
Registry record updated Jan 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95031606 Issued in CA
Practice address
11822 Floral Dr
Whittier, CA 90601-2917
Phone
(562) 908-4355
NPI assigned
Nov 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95031606 CA Primary

Addresses

Primary practice location

11822 Floral Dr
Whittier, CA 90601-2917

Mailing address

144 W Carter Dr
Glendora, CA 91740-5910

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250604002499 CA Practitioner - Nurse Practitioner 1456860048 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montes Medical Group Inc Current Accepting new patients
Montes Medical Group Inc CurrentSince Mar 10, 2025 Accepting new patients
Montes Medical Group Inc CurrentSince Mar 10, 2025 Accepting new patients

Locations

4545 E 3rd St
Ste 102
Los Angeles, CA 90022
Phone (323) 264-6296

11822 Floral Dr
Whittier, CA 90601
Phone (562) 205-3405

Organizations & group practices 3

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": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736640000000",
    "number": "1487477162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 W CARTER DR",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11822 FLORAL DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906012917",
            "telephone_number": "562-908-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAREST",
        "first_name": "ELISHA",
        "middle_name": "DENISE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-01",
        "last_updated": "2025-01-12",
        "certification_date": "2025-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95031606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.