Alexa Charbonneau

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

303136 Issued in CA

Practice address

13891 Newport Ave Ste 285
Tustin, CA 92780-7840

Phone

(714) 770-8222

NPI assigned

Dec 13, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1699486316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SHELTON CT",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926940743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13891 NEWPORT AVE STE 285",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807840",
            "telephone_number": "714-770-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARBONNEAU",
        "first_name": "ALEXA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "303136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "alexa@PELVICHEALING.COM",
            "affiliation": "N",
            "endpointDescription": "WORK EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13891 Newport Ave Ste 285",
            "city": "Tustin",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927807840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elbert Chao, DC
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• Elizabeth F Chapman, MSW
• Jeanine Dee Chapman, SLP
• Molly Chapman, CPNP
• Charles K. Oh, MD Inc.
• Charles Kim MD Inc (Luzwave Medical Group)
• Artaporn Chatkoo
• Ana Chavez
• Yasmin Chavez

• Physical Medicine & Rehabilitation Physician in Tustin, CA
• Providers in Tustin, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.