Michael Christopher Charvis

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

57339 Issued in CA

Practice address

10411 Baldy CT
Corona, CA 92883-9260

Phone

(818) 714-0819

NPI assigned

May 23, 2019

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: michael.charvis.1@10674.direct.athenahealth.com
• Direct secure messaging: mcharvis180972@direct.llu.edu

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.

• Healthcare Crossing Corporation

  • Internal Medicine Physician
  • Murrieta, CA
  • NPI 1518953298
  Medicare reassignment

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599264000000",
    "number": "1619534856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10411 BALDY CT",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928839260",
            "telephone_number": "818-714-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10411 BALDY CT",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928839260",
            "telephone_number": "818-714-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARVIS",
        "first_name": "MICHAEL",
        "middle_name": "CHRISTOPHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-23",
        "last_updated": "2020-09-05",
        "certification_date": "2020-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "57339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Chapa
• Kenadi Chapple
• Crystal Dolores Charette
• Charles F Rodgers Dental Corporation
• Jodi Chartier
• Hailey Belle Chase
• Richard Ray Chatham, BCABA
• John Chau, DDS
• Lanna A Chau, D.C.
• Louis T Chau, M.D.

• Physician Assistant in Corona, CA
• Providers in Corona, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.