Charles Park Burchette
Charles Park Burchette is a Certified Registered Nurse Anesthetist (CRNA) in Tarzana, California. Qualified in 2011, 15 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 15
- Licensed in
- CA
- In the registry since
- 2011
Practice location Address checks out
5820 Yolanda Ave Apt 8Tarzana, CA 91356-1450
Phone: (818) 404-8336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| School Registered Nurse (primary) | Taxonomy 163WS0200X · Licence 716149 (CA) |
|---|
Record details
| NPI number | 1568754869 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 5, 2011 |
| Last updated in NPPES | December 3, 2021 |
| Mailing address | 5820 Yolanda Ave Apt 8, Tarzana, CA 91356-1450 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Southern California Permanente Medical Group — 11242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |