Individual provider Active NPI

Charles Hochette Avery, M.D.

  • Internal Medicine Physician
  • Oxnard, CA
National Provider Identifier
1891735486
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A26091 Issued in CA
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

Updated by the provider on Jan 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
W13268OtherCAPRIMARY MEDICAL MEDICARE
W13268AOtherCAPRIMARY 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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26091CAMDPeriodontist
A26091CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Medical Group of Ventura County Inc PastSince Jul 24, 2016 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.

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.

Verify at the official NPI Registry.