Individual provider Active NPI

Christopher Gerard Negrete, N.P

  • Acute Care Nurse Practitioner
  • Sherman Oaks, CA
National Provider Identifier
1083157606
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95005322 Issued in CA
Practice address
4911 Van Nuys Blvd Ste 102
Sherman Oaks, CA 91403-6802
Phone
(818) 981-7111
NPI assigned
Nov 30, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95005322 CA Primary

Addresses

Primary practice location

4911 Van Nuys Blvd Ste 102
Sherman Oaks, CA 91403-6802

Mailing address

10416 El Rancho Dr
Whittier, CA 90606-1126
Phone (916) 812-4477

Other identifiers 1

IdentifierTypeStateIssuer
95005322OtherCACA NURSE PRACTIONER LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170126000515 CA Practitioner - Nurse Practitioner 6608158621 Reassigns benefits to 2 organizations
I20230523002875 TN Practitioner - Nurse Practitioner 6608158621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

1201 Bishop St
Union City, TN 38261-5403
Phone (731) 885-2410

2305 Chambliss Ave NW
Cleveland, TN 37311-3847
Phone (423) 559-6000

Hospital & facility affiliations

  • Affiliate of Vitruvian Health Hospital, Cleveland, TN, CCN 440185
  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC CurrentSince Aug 1, 2023 Accepting new patients
App of Tennessee HM, PLLC CurrentSince May 15, 2023 Accepting new patients
Epic Medical Group,Inc CurrentSince Nov 12, 2016 Accepting new patients
Derderyan Medical Group Inc. CurrentSince Apr 1, 2017 Accepting new patients
Christopher G. Negrete Acnp, a Nursing Corporation Past Accepting new patients

Locations

501 W Glenoaks Blvd
Ste 26
Glendale, CA 91202

4940 Van Nuys Blvd
Ste 200
Sherman Oaks, CA 91403
Phone (818) 528-1222

4955 Van Nuys Blvd
Ste 308
Van Nuys, CA 91403
Phone (818) 387-6114

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7032/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1083157606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10416 EL RANCHO DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906061126",
            "telephone_number": "916-812-4477",
            "fax_number": "818-528-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 VAN NUYS BLVD STE 102",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914036802",
            "telephone_number": "818-981-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRETE",
        "first_name": "CHRISTOPHER",
        "middle_name": "GERARD",
        "credential": "N.P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95005322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA NURSE PRACTIONER LICENSE",
            "identifier": "95005322",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.