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

Charles S Edward, PA-C

Individual provider Physician Assistant · NPI 1366711558

Charles S Edward, PA-C is a Physician Assistant in Los Angeles, California. Qualified in 2011, 15 years ago. Practices with Carbon Health Medical Group of California PC, a 332-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Connecticut.

Years since qualifying
15
Licensed in
CA, CT
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Phone: (213) 977-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 E Washington Blvd, Crescent City, CA 95531-8359 — (707) 464-8888

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA22163 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 002691 (CT)

Record details

NPI number1366711558
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 19, 2011
Last updated in NPPESFebruary 22, 2023
Certification dateFebruary 22, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Carbon Health Medical Group Of California Pc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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