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CHARLES ALEXANDRE GREENER PA
NPI 1346716842
Physician Assistant - Surgical in Fullerton, CA

Active since October 23, 2018PECOS Enrolled
2141 N HARBOR BLVD STE 35000, FULLERTON, CA 92835(714) 626-8657(714) 626-8686 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 25, 2019, Oct 23, 2018 (2 updates tracked since 2018).

About Charles Alexandre Greener Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES ALEXANDRE GREENER PA (NPI 1346716842) is an individual surgical provider in Fullerton, California and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Geneva.

NPPES Registry Identity

NPI1346716842
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameCHARLES ALEXANDRE GREENERCredential: PA
Location Address2141 N HARBOR BLVD STE 35000Fullerton, CA 92835-3831
Mailing Address6 The Mews South 7th StGeneva, IL 60134-2629 · (224) 523-2913
Phone(714) 626-8657
Fax(714) 626-8686
Sole ProprietorYes
Enumeration DateOctober 23, 2018
Last NPPES UpdateSeptember 25, 20192 updates tracked since enumeration
✔ NPI 1346716842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
2141 N HARBOR BLVD STE 35000, Fullerton, CA 92835
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Secondary Practice Location 1

Location 1317 The Mews Seventh StreetGeneva, IL 60134-6013 · Phone (224) 523-2913

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Alexandre Greener Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUSTIN JAMES PERKINS PA-C, ATC
Physician Assistant (Surgical)
2141 N HARBOR BLVD STE 35000
FULLERTON, CA 92835
Orange County (714) 626-8630
ARNOLD RYAN HABAN
Registered Nurse
2141 N HARBOR BLVD STE 35000
FULLERTON, CA 92835
Orange County (714) 626-8630
DR. KATE S. BOULDER DNP, FNP-C, AGNP-C
Nurse Practitioner
2141 N HARBOR BLVD STE 35000
FULLERTON, CA 92835
Orange County (714) 626-8635
PROVIDENCE MEDICAL FOUNDATION
Orthopaedic Surgery
2141 N HARBOR BLVD STE 35000
FULLERTON, CA 92835
Orange County (714) 626-8630
ANDREW CONCOFF MD
Internal Medicine (Sports Medicine)
2141 N HARBOR BLVD STE 35000
FULLERTON, CA 92835
Orange County (714) 626-8630
CARRIE M CARRILLO PA
Physician Assistant (Surgical)
2141 N HARBOR BLVD STE 35000
FULLERTON, CA 92835
Orange County (714) 626-8630
KYLA AMA DAVIS PA-C
Physician Assistant (Medical)
2141 N HARBOR BLVD STE 35000
FULLERTON, CA 92835
Orange County (714) 626-8630
JOHAN MARTIN FORSLUND MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
2141 N HARBOR BLVD STE 35000
FULLERTON, CA 92835
Orange County (714) 626-8630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Greener's NPI number?

The NPI number for Charles Greener is 1346716842. It was assigned to this individual provider in the NPPES registry on October 23, 2018.

Where is Charles Greener located?

Charles Greener practices at 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835. The listed phone number is (714) 626-8657.

What is Charles Greener's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Charles Greener enrolled in Medicare?

Yes. Charles Greener is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Greener was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.