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

Dr. Charise Leanne Ivy, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1871668293

Dr. Charise Leanne Ivy, MD is a Physical Medicine and Rehabilitation in Glendale, California. Graduated from Loma Linda University School of Medicine in 2000, 26 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California and Massachusetts.

Years since qualifying
26
Trained at
Loma Linda University School of Medicine
Licensed in
CA, MA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1500 E Chevy Chase Dr Ste 401 Glendale Adventist Medical Center Spine Institute
Glendale, CA 91206-4153
Phone: (818) 863-4451
Fax: (818) 863-4984
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence A86275 (CA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 242320 (MA)

Record details

NPI number1871668293
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 21, 2006
Last updated in NPPESMay 19, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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