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

Charlotte Bourdillon, MD

Individual provider Family Medicine Physician · NPI 1972163889

Charlotte Bourdillon, MD is a Family Practice in Ventura, California. Graduated from University of Michigan Medical School in 2019, 7 years ago. Practices with Southeast Alaska Regional Health Consortium, a 368-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Trained at
University of Michigan Medical School
Licensed in
CA
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Hillmont Ave Bldg 340 Ste 201
Ventura, CA 93003-1651
Phone: (805) 652-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 183154 (CA)

Record details

NPI number1972163889
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2019
Last updated in NPPESDecember 13, 2022
Certification dateDecember 13, 2022
Mailing address800 S Victoria Ave # L4615, Ventura, CA 93009-0003

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2019 (7 years in practice)
Group practice Southeast Alaska Regional Health Consortium — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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