Active NPI
Charlotte Kirton
- Nurse Practitioner
- Oakley, CA
National Provider Identifier
1639588064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 19351
- Practice address
- 5351 Lakespring Dr
Oakley, CA 94561-3142 - Phone
- (510) 943-2948
- NPI assigned
- Aug 11, 2014
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 19351 | CA | Primary |
Addresses
Primary practice location
5351 Lakespring Dr
Oakley, CA 94561-3142
Mailing address
5351 Lakespring Dr
Oakley, CA 94561-3142
Phone (510) 860-0512
Other practice location 1
3655 Nobel Dr
Suite 660
San Diego, CA 92122-1003
Phone (888) 435-6500 ext. 838
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5351 Lakespring Dr
Oakley, CA 94561-3142
PO Box
Suite 451249
Los Angeles, CA 90045
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
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- NPI 1417373713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1639588064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5351 LAKESPRING DR",
"city": "OAKLEY",
"state": "CA",
"postal_code": "945613142",
"telephone_number": "510-860-0512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5351 LAKESPRING DR",
"city": "OAKLEY",
"state": "CA",
"postal_code": "945613142",
"telephone_number": "510-943-2948"
}
],
"practiceLocations": [
{
"address_1": "3655 Nobel Dr",
"address_2": "Suite 660",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921221003",
"country_code": "US",
"telephone_number": "888-435-6500 x838",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIRTON",
"first_name": "CHARLOTTE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-11",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "19351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.