CHARLES PARK BURCHETTE
NPI 1568754869
Registered Nurse - School in Tarzana, CA

Active since May 05, 2011Accepts Medicare Assignment
5820 YOLANDA AVE APT 8, TARZANA, CA 91356(818) 404-8336 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Charles Park Burchette NPPES

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

CHARLES PARK BURCHETTE (NPI 1568754869) is an individual school provider in Tarzana, California, licensed in California (716149) and active in the NPI registry since May 2011. He is a graduate of Other (2011).

NPPES Registry Identity

NPI1568754869
Entity TypeIndividualMale
Primary Taxonomy163WS0200X
Provider Legal NameCHARLES PARK BURCHETTE
Location Address5820 YOLANDA AVE APT 8Tarzana, CA 91356-1450
Mailing Address5820 Yolanda Ave Apt 8Tarzana, CA 91356-1450 · (818) 404-8336
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 5, 2011
Last NPPES UpdateDecember 3, 2021
NPI 1568754869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License Licensed in CA · 716149
5820 YOLANDA AVE APT 8, Tarzana, CA 91356

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 Park Burchette 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 ID3476719808
PECOS Enrollment IDI20120730000311

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 Burchette's NPI number?

The NPI number for Charles Burchette is 1568754869. It was assigned to this individual provider in the NPPES registry on May 5, 2011.

Where is Charles Burchette located?

Charles Burchette practices at 5820 Yolanda Ave Apt 8, Tarzana, CA 91356. The listed phone number is (818) 404-8336.

What is Charles Burchette's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in School, with taxonomy code 163WS0200X.

Is Charles Burchette enrolled in Medicare?

Yes. Charles Burchette 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 Burchette was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.