Active NPI
Megan Cherene
- Speech-Language Pathologist
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP24487
- Practice address
- 1760 W 16TH St
San Bernardino, CA 92411-1160 - Phone
- (909) 473-1235
- NPI assigned
- Sep 23, 2019
- Last updated
- Dec 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP24487 | CA | Primary |
Addresses
Primary practice location
1760 W 16TH St
San Bernardino, CA 92411-1160
Mailing address
32236 Via Arias
Temecula, CA 92592-3873
Phone (562) 895-3949
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Loma Linda University School of Medicine, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1340 E Pebble Rd
Suite 115
Las Vegas, NV 89123-3145
1453 European Dr
Henderson, NV 89052-4022
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24487 | CA | MD | Psychiatry Physician |
| SP24487 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Linda L Ganz Ms CCC SLP | Speech-Language Pathologist | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients |
Locations
1011 Baldwin Park Blvd
Baldwin Park, CA 91706
Phone (626) 851-1011
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
1255 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 394-2526
1340 E Pebble Rd
Ste 115
Las Vegas, NV 89123
Phone (702) 558-9900
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
dba Vegas Voice Institute
- Speech-Language Pathologist
- Las Vegas, NV
- NPI 1346355799
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
dba Target Clinic Medical Associates of Southern California
- Health Maintenance Organization
- Rosemead, CA
- NPI 1942787114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639353600000",
"number": "1306497144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32236 VIA ARIAS",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925923873",
"telephone_number": "562-895-3949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 W 16TH ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924111160",
"telephone_number": "909-473-1235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERENE",
"first_name": "MEGAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-23",
"last_updated": "2021-12-13",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP24487",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1011 Baldwin Park Blvd",
"city": "Baldwin Park",
"state": "CA",
"country_code": "US",
"postal_code": "917065806",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.