Joseph Bernard Charles, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95008352 Issued in CA

Practice address

5623 Kanan Rd
Agoura Hills, CA 91301-3358

Phone

(818) 991-5522

NPI assigned

Jul 30, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• N/a N/a Jean Former name

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

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jcharles591354@direct.ochin.org

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.

• Asian Americans for Community Involvement of Santa Clara County, Inc

  • Clinic/Center
  • San Jose, CA
  • NPI 1750490363
  Medicare reassignment NPD
• Asian Americans for Community Involvement of Santa Clara County, Inc

  • Clinic/Center
  • San Jose, CA
  • NPI 1316338775
  NPD
• Asian Americans for Community Involvement of Santa Clara County, Inc

  • Community/Behavioral Health Agency
  • San Jose, CA
  • NPI 1326052291
  NPD

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1649758962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MOORPARK AVE",
            "address_2": "STE 300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282680",
            "telephone_number": "415-827-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5623 KANAN RD",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913013358",
            "telephone_number": "818-991-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "JOSEPH",
        "middle_name": "BERNARD",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-30",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "JEAN",
            "middle_name": "N/A",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Centurion Surgical Center, Inc
• Century Surgical Center
• Morgan Greer Chadderton, PMHNP
• Meriam Chaheen, L.AC.
• Changrui Liu, D.D.S., Inc., a Professional Corporation
• Allison Chase, M.A., LMFT
• Angela Chen, D.C.
• Juishen Cheng
• Mary Elaine Chernoff, MFT
• Penny Jean Chong, M.D.

• Family Nurse Practitioner in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.