CHARLES PARK BURCHETTE
NPI 1568754869
Registered Nurse - School in Tarzana, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Charles Burchette reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Woodland Hills, CA 91367
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Charles Burchette's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Burchette reassigns Medicare benefits to Southern California Permanente Medical Group (Woodland Hills, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Burchette's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Charles Park Burchette · NPI 1568754869
School provider in Tarzana, California. Individual provider, active in the CMS NPPES registry since May 5, 2011.
## Identity
- **NPI:** 1568754869 (Entity type: Individual)
- **Enumerated:** May 5, 2011
- **Primary specialty:** Registered Nurse - School · taxonomy 163WS0200X
- **State license:** 716149 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5820 YOLANDA AVE APT 8, Tarzana, CA 91356-1450
- **Phone:** (818) 404-8336
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1952333478, Woodland Hills, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** December 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1568754869) · Data from the CMS NPPES public registry.