Individual provider Active NPI

Aminah Cherry

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1356758080
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A130477 Issued in CA
Practice address
1400 S Grand Ave
Suite 101
Los Angeles, CA 90015-3048
Phone
(213) 744-0801
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X CA130477 CA
Hospitalist Physician 208M00000X A130477 CA
Family Medicine Physician 207Q00000X A130477 CA Primary

Addresses

Primary practice location

1400 S Grand Ave
Suite 101
Los Angeles, CA 90015-3048

Mailing address

1400 S Grand Ave
Suite 101
Los Angeles, CA 90015-3048
Phone (213) 744-0801

Other practice location 1

34 Mark West Springs Rd Fl 2
Santa Rosa, CA 95403-1766
Phone (707) 303-3600

Other identifiers 1

IdentifierTypeStateIssuer
A130477OtherCASTATE MEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
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
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
I20150529001897 CA Practitioner - Family PracticePractitioner - Hospitalist 8426379611 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CA130477CAMDInternal Medicine Physician
A130477CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SV Hospitalist Medical Group Inc Hospitalist CurrentSince Jul 15, 2019 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Mar 30, 2015 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine Current Accepting new patients
Providence Medical Foundation CurrentSince Apr 1, 2019 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jul 4, 2023 Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Apr 1, 2019 Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince May 1, 2017 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jul 4, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Mar 30, 2015 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince May 1, 2017 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Vituity Hospitalists PC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Vituity Hospitalists PC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
SRM Alliance Hospital Services Past Accepting new patients
Providence Medical Foundation Family Medicine Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Dignity Health Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

3733 San Dimas St
Bakersfield, CA 93301
Phone (661) 631-3008

3733 San Dimas St
Ste 101
Bakersfield, CA 93301
Phone (800) 353-5400

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1100 Trancas St
Ste 209
Napa, CA 94558
Phone (707) 251-1850

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

797 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 535-2434

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

900 Hyde St
San Francisco, CA 94109
Phone (415) 353-6000

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Interoperability endpoints

  • Direct secure messaging: acherry577209@direct.llu.edu

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1356758080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S GRAND AVE",
            "address_2": "SUITE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153048",
            "telephone_number": "213-744-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S GRAND AVE",
            "address_2": "SUITE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153048",
            "telephone_number": "213-744-0801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Mark West Springs Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954031766",
            "country_code": "US",
            "telephone_number": "707-303-3600",
            "fax_number": "707-303-3611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERRY",
        "first_name": "AMINAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2023-06-28",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "CA130477",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A130477",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A130477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "A130477",
            "state": "CA"
        }
    ],
    "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": "3733 San Dimas St",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933011407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.