Jerrod Rashad Charles

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2026037257 Issued in CA

Practice address

12215 Champlain St
Moreno Valley, CA 92557-7716

Phone

(951) 349-8487

NPI assigned

Aug 18, 2026

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1787011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1972418218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12215 CHAMPLAIN ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577716",
            "telephone_number": "951-349-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12215 CHAMPLAIN ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577716",
            "telephone_number": "951-349-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "JERROD",
        "middle_name": "RASHAD",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "2026037257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Chan
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• Henry Chang
• Susan Chang, PHARMD
• Lynelle Chapman, IMFT
• Chastella Inc (Stella Maris Growth Center II)
• Chastella Inc (Stella Maris Growth Center III)
• Visit Chatsuthiphan, M.D.
• Caitlin Thu Chau, M.D.
• Flora Dnise Chavarin

• Psychiatric/Mental Health Nurse Practitioner in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.