CHARLES S EDWARD PA-C
NPI 1366711558
Physician Assistant in Los Angeles, CA

Active since December 19, 2011PECOS EnrolledAccepts Medicare Assignment
1225 WILSHIRE BLVD, LOS ANGELES, CA 90017(213) 977-2121 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 22, 2023, Feb 3, 2023, Jul 10, 2018 (3 updates tracked since 2018).

About Charles S Edward Pa-c NPPES

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

CHARLES S EDWARD PA-C (NPI 1366711558) is an individual physician assistant in Los Angeles, California, licensed in California (PA22163) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Crescent City, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1366711558
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCHARLES S EDWARDCredential: PA-C
Location Address1225 WILSHIRE BLVDLos Angeles, CA 90017-1901
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (213) 977-2121
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 19, 2011
Last NPPES UpdateFebruary 22, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
NPI 1366711558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in CA · PA22163 Licensed in CT · 002691
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1225 WILSHIRE BLVD, Los Angeles, CA 90017

Secondary Practice Location 1

Location 1800 E Washington BlvdCrescent City, CA 95531-8359 · Phone (707) 464-8888

Other Identifiers 1

OtherPA22163CA · Medical License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Charles S Edward Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476716796
PECOS Enrollment IDI20120524000523
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
137 services132 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
85 services82 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
41 services41 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
1225 WILSHIRE BLVD
LOS ANGELES, CA 90017
Emergency Medicine
1225 WILSHIRE BLVD
LOS ANGELES, CA 90017
Anesthesiology
1225 WILSHIRE BLVD
LOS ANGELES, CA 90017
Anesthesiology
1225 WILSHIRE BLVD
LOS ANGELES, CA 90017
Internal Medicine
1225 WILSHIRE BLVD
LOS ANGELES, CA 90017
Emergency Medicine
1225 WILSHIRE BLVD
LOS ANGELES, CA 90017
Anesthesiology
1225 WILSHIRE BLVD
LOS ANGELES, CA 90017
Pharmacist
1225 WILSHIRE BLVD
LOS ANGELES, CA 90017

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 Edward's NPI number?

The NPI number for Charles Edward is 1366711558. It was assigned to this individual provider in the NPPES registry on December 19, 2011.

Where is Charles Edward located?

Charles Edward practices at 1225 Wilshire Blvd, Los Angeles, CA 90017. The listed phone number is (213) 977-2121.

What is Charles Edward's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Charles Edward enrolled in Medicare?

Yes. Charles Edward is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Charles Edward was last updated on February 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.