Charles Park Burchette
NPI 1568754869ActiveIndividual· Registered Nurse, School· Tarzana, CA
Registered Nurse, School with Southern California Permanente Medical Group, practicing in Tarzana, California. Enrolled in Medicare as practitioner - certified registered nurse anesthetist (crna). Lists Kaiser Foundation Hospital - Orange County - Anaheim as a hospital affiliation.
Overview
| NPI | 1568754869 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 5, 2011 |
| Last updated in NPPES | Dec 3, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse, School Primary | 163WS0200X | 716149 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (CA) |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Southern California Permanente Medical GroupRedlands, CA · 11,293 clinicians