Active NPI
Shawn N Chaikin, MD
- Family Medicine Physician
- Marina del Rey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- CA20A11167
- Practice address
- 4560 Admiralty Way
Suite 100
Marina del Rey, CA 90292-5423 - Phone
- (310) 827-3700
- NPI assigned
- Jun 16, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | CA20A11167 | CA | Primary |
Addresses
Primary practice location
4560 Admiralty Way
Suite 100
Marina del Rey, CA 90292-5423
Mailing address
4560 Admiralty Way
Suite 100
Marina del Rey, CA 90292-5423
Phone (310) 827-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111123000599 | CA | Practitioner - Family Practice | 2163696386 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Western University of Health Sciences College of Dental Med, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Cedars-Sinai Medical Care Foundation
Practice addresses (Care Compare)
8767 Wilshire Blvd
FL 3
Beverly Hills, CA 90211-2714
Phone (310) 248-7188
Hospital & facility affiliations
- Assisted Home Care
- Cedars-Sinai Medical Center
- Cedar-Sinai Marina del Rey Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CA20A11167 | CA | MD | Family Medicine Physician |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients |
Locations
8767 Wilshire Blvd
Fl 3
Beverly Hills, CA 90211
Phone (310) 385-6031
8820 Wilshire Blvd
Ste 110
Beverly Hills, CA 90211
Phone (310) 423-4945
10100 Culver Blvd
Culver City, CA 90232
Phone (310) 280-2700
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
12746 W Jefferson Blvd
Ste 3000
Playa Vista, CA 90094
Phone (424) 314-0440
2001 Santa Monica Blvd
Ste 370W
Santa Monica, CA 90404
Phone (310) 586-9001
4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- schaikin213706@direct.cshs.org
Organizations & group practices 4
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.
-
- Community/Retail Pharmacy
- Los Angeles, CA
- NPI 1972149292
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Los Angeles, CA
- NPI 1336538495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322697600000",
"number": "1184884843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4560 ADMIRALTY WAY",
"address_2": "SUITE 100",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902925423",
"telephone_number": "310-827-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4560 ADMIRALTY WAY",
"address_2": "SUITE 100",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902925423",
"telephone_number": "310-827-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAIKIN",
"first_name": "SHAWN",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-16",
"last_updated": "2011-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "CA20A11167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marina del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.