Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Gregory Pendarvis Jr.

Individual provider Case Management Agency · NPI 1184349847

Charles Gregory Pendarvis Jr. is a Case Management Agency in Susanville, California. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

555 Hospital Ln
Susanville, CA 96130-4808
Phone: (530) 251-8108
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X

Record details

NPI number1184349847
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 5, 2022
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022

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