Individual provider Active NPI

Shawn N Chaikin, MD

  • Family Medicine Physician
  • Marina del Rey, CA
National Provider Identifier
1184884843
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
CA20A11167 Issued in CA
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

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111123000599 CA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 2163696386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
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 1,684 clinicians

Practice addresses (Care Compare)

8767 Wilshire Blvd
FL 3
Beverly Hills, CA 90211-2714
Phone (310) 248-7188

Hospital & facility affiliations

  • Assisted Home Care Home health agency, Los Angeles, CA, CCN 058067
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625
  • Cedar-Sinai Marina del Rey Hospital Hospital, Marina del Rey, CA, CCN 050740

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CA20A11167CAMDFamily Medicine Physician

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Jul 1, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.