Active NPI
Charles Hochette Avery, M.D.
- Internal Medicine Physician
- Oxnard, CA
National Provider Identifier
1891735486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A26091
- Practice address
- 1751 Lombard St # a
Attn Cindy Garner
Oxnard, CA 93030-8266 - Phone
- (805) 981-9111
- Fax
- (805) 981-8333
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A26091 | CA | Primary |
Addresses
Primary practice location
1751 Lombard St # a
Attn Cindy Garner
Oxnard, CA 93030-8266
Mailing address
2772 Johnson Dr Ste 200
Attn Cindy Garner
Ventura, CA 93003-7262
Phone (805) 641-1430
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W13268 | Other | CA | PRIMARY MEDICAL MEDICARE |
| W13268A | Other | CA | PRIMARY MEDICAL MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26091 | CA | MD | Periodontist |
| A26091 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Medical Group of Ventura County Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Ventura, CA
- NPI 1417970849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389830400000",
"number": "1891735486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2772 JOHNSON DR STE 200",
"address_2": "ATTN CINDY GARNER",
"city": "VENTURA",
"state": "CA",
"postal_code": "930037262",
"telephone_number": "805-641-1430",
"fax_number": "805-642-1436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 LOMBARD ST # A",
"address_2": "ATTN CINDY GARNER",
"city": "OXNARD",
"state": "CA",
"postal_code": "930308266",
"telephone_number": "805-981-9111",
"fax_number": "805-981-8333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERY",
"first_name": "CHARLES",
"middle_name": "HOCHETTE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2014-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A26091",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIMARY MEDICAL MEDICARE",
"identifier": "W13268",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIMARY MEDICAL MEDICARE",
"identifier": "W13268A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.