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AVA MAGDALENE CHARBONEAU PA-C
NPI 1497560668
Physician Assistant in Los Angeles, CA

Active since February 12, 2025PECOS Enrolled
2080 CENTURY PARK E STE 710, LOS ANGELES, CA 90067(310) 715-3237 Get Directions Write a Review

NPPES record last updated: July 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2025, Feb 12, 2025 (2 updates tracked since 2025).

About Ava Magdalene Charboneau Pa-c NPPES

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

AVA MAGDALENE CHARBONEAU PA-C (NPI 1497560668) is an individual physician assistant in Los Angeles, California and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497560668
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAVA MAGDALENE CHARBONEAUCredential: PA-C
Location Address2080 CENTURY PARK E STE 710Los Angeles, CA 90067-2010
Mailing Address2080 Century Park E Ste 710Los Angeles, CA 90067-2010 · (206) 914-6892
Phone(310) 715-3237
Sole ProprietorNo
Enumeration DateFebruary 12, 2025
Last NPPES UpdateJuly 13, 20252 updates tracked since enumeration
NPPES CertifiedJuly 13, 2025
✔ NPI 1497560668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
2080 CENTURY PARK E STE 710, Los Angeles, CA 90067
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ava Magdalene Charboneau Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90067 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 7

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

RUPERT FORTUGALEZA FNP
Nurse Practitioner
2080 CENTURY PARK E STE 710
LOS ANGELES, CA 90067
Los Angeles County (310) 556-7747
RANA TAHERIAN M.D.
Internal Medicine (Rheumatology)
2080 CENTURY PARK E STE 710
LOS ANGELES, CA 90067
Los Angeles County (310) 715-3237
BOLIN L CHANG MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2080 CENTURY PARK E STE 710
LOS ANGELES, CA 90067
Los Angeles County (310) 715-3237
MMI MEDICAL GROUP, INC.
Clinic/Center (Infusion Therapy)
2080 CENTURY PARK E STE 710
LOS ANGELES, CA 90067
Los Angeles County (310) 715-3237
AMY P BANSAL M.D.
Otolaryngology
2080 CENTURY PARK E STE 710
LOS ANGELES, CA 90067
Los Angeles County (310) 715-3237
NATALIE NGA TRAN N.P.
Nurse Practitioner (Family)
2080 CENTURY PARK E STE 710
LOS ANGELES, CA 90067
Los Angeles County (310) 556-7747
SERPAH MEDICAL PC
Clinic/Center (Primary Care)
2080 CENTURY PARK E STE 710
LOS ANGELES, CA 90067
Los Angeles County (424) 274-3211

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 Ava Charboneau's NPI number?

The NPI number for Ava Charboneau is 1497560668. It was assigned to this individual provider in the NPPES registry on February 12, 2025.

Where is Ava Charboneau located?

Ava Charboneau practices at 2080 Century Park E Ste 710, Los Angeles, CA 90067. The listed phone number is (310) 715-3237.

What is Ava Charboneau's specialty?

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

Is Ava Charboneau enrolled in Medicare?

Yes. Ava Charboneau is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ava Charboneau was last updated on July 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.