CHRISTOPHER J CHARBONNET (NPI# 1225049968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225049968 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER J CHARBONNET |
| Credential | M.D. |
| Practice Address |
1530 E Chevy Chase Dr Suite 204 Glendale CA 91206-4163 |
| Mailing Address |
Po Box 5486 Orange CA 92863-5486 |
| Practice Telephone | 8182417246 |
| Practice Fax Number | 8182411639 |
| Mailing Telephone | 8185500900 |
| Mailing Fax Number | 5052931524 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2015-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | G79131 | CA | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
G79131 | CA | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
G79131 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G791310 | 05 | |
| CA | BLUE SHIELD | 00G791310 | 01 |
| Street Address |
1530 E CHEVY CHASE DR SUITE 204 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91206-4163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952343808 | Philip R Shupe | Podiatrist | 1530 E Chevy Chase Dr, Suite 107, Glendale, CA 91206-4163 | 2006-06-12 |
| 1265780399 | Katharine Lee Pardave | Nurse Practitioner | 1530 E Chevy Chase Dr, Suite 207, Glendale, CA 91206-4163 | 2012-08-21 |
| 1750641080 | Raul Arturo Pardave, Md, A Medical Corporation | Non-Pharmacy Dispensing Site | 1530 E Chevy Chase Dr, Suite 207, Glendale, CA 91206-4163 | 2012-05-21 |
| 1376817429 | Kent Candelora, Phd, A Psychological Corporation | Psychologist | 1530 E Chevy Chase Dr, Suite 103, Glendale, CA 91206-4139 | 2012-03-06 |
| 1104118389 | Jivan Melikian M.d. Inc | Internal Medicine | 1530 E Chevy Chase Dr, Suite 206, Glendale, CA 91206-4163 | 2011-05-06 |
| 1083914162 | Calzadilla Psychological Inc | Psychologist | 1530 E Chevy Chase Dr, Suite 204, Glendale, CA 91206-4163 | 2010-10-23 |
| 1386962058 | Muradian Chiropractic Care Inc | Chiropractor | 1530 E Chevy Chase Dr, # 105, Glendale, CA 91206-4163 | 2010-05-05 |
| 1427234558 | Raul Arturo Pardave Md A Medical Corporation | Family Medicine | 1530 E Chevy Chase Dr, Suite 207, Glendale, CA 91206-4163 | 2008-01-18 |
| 1972792778 | John G Olea, Md Apc | Anesthesiology | 1530 E Chevy Chase Dr, Suite 205a, Glendale, CA 91206-4163 | 2007-10-17 |
| 1679785695 | Christopher J. Charbonnet, M.d., A Professional Corporation | Pain Medicine | 1530 E Chevy Chase Dr, Ste 204, Glendale, CA 91206-4163 | 2007-05-03 |
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| 1922611003 | Skyla L Bergin | Behavior Technician | 741 Glenvia St., Suite 200, Glendale, CA 91206 | 2020-08-28 |
| 1861017303 | Scm Nutrition Diet Inc | Dietitian, Registered | 2437 Bywood Drive, Glendale, CA 91206 | 2020-06-10 |
| 1336761295 | Glendale Whole Health | Family Medicine | 230 N Maryland Aave #110, Glendale, CA 91206 | 2020-05-14 |
| 1467010801 | Rebecca Bautista | Counselor | 223 North Jackson Street, Glendale, CA 91206 | 2019-05-31 |
| 1689132920 | M4l Transport Inc | Non-emergency Medical Transport (VAN) | 336 N Louise St #4d, Glendale, CA 91206 | 2019-03-05 |
| 1376042705 | Eileen Wong, Md Inc. | Physical Medicine & Rehabilitation | 2664 E Glenoaks Blvd, Glendale, CA 91206 | 2018-02-12 |
| 1629507900 | Aleksan Chakhoyan | Registered Nurse | 501 N. Glendale Ave., Glendale, CA 91206 | 2017-06-08 |
| 1851793343 | Sevak Olmessekian | Pharmacist | 230 N. Maryland Ave., Suite 307, Glendale, CA 91206 | 2014-09-16 |
| 1558762575 | Zyanya Mendoza | Clinical Neuropsychologist | 1560 E Chevy Chase Dr Ste 140, Glendale, CA 91206 | 2014-09-09 |
| 1629488358 | Nina Behdin | Surgery | 1560 E Chevy Chase Dr Ste 430, Glendale, CA 91206 | 2014-05-02 |
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| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093001851 | Brian Curtin | Pain Medicine | 525 W River Woods Pkwy Ste 240, Glendale, WI 53212-1010 | 2011-06-21 |
| 1922278381 | Glendale Pain Medicine Associates Inc | Pain Medicine | 710 S Central Ave Ste 340, Glendale, CA 91204-4647 | 2008-03-01 |
| 1740889021 | Midwest Interventional Pain and Diagnostics | Pain Medicine | 525 W River Woods Pkwy Ste 240, Glendale, WI 53212-1010 | 2020-10-19 |
| 1033749023 | Rum LLC | Pain Medicine | 20325 N 51st Ave Ste 102, Glendale, AZ 85308-5665 | 2020-01-19 |
| 1508338765 | Ghomri Health Care Inc | Pain Medicine | 1100 E Broadway Ste 301, Glendale, CA 91205-1380 | 2018-12-27 |
| 1568849990 | Brandon Ian Roth | Pain Medicine | 18555 N 79th Ave Ste D101, Glendale, AZ 85308-6040 | 2015-05-06 |
| 1104069145 | Spinecare of Phoenix LLC | Pain Medicine | 16222 N 59th Ave, Ste A-100, Glendale, AZ 85306-1701 | 2009-04-07 |
| 1679785695 | Christopher J. Charbonnet, M.d., A Professional Corporation | Pain Medicine | 1530 E Chevy Chase Dr, Ste 204, Glendale, CA 91206-4163 | 2007-05-03 |
| 1184746380 | Christopher K Kaypekian | Pain Medicine | 1500 S Central Ave, Suite 126, Glendale, CA 91204-2530 | 2007-04-06 |
| 1619950375 | Steven J. Donatello | Pain Medicine | 575 W River Woods Pkwy, #205, Glendale, WI 53212-1003 | 2005-11-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.