Active NPI
Martin Louis Chenevert, M.D.
- Emergency Medicine Physician
- Santa Monica, CA
National Provider Identifier
1386678746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G067565
- Practice address
- 1250 16TH St
Santa Monica-UCLA Medical Center, Emergency Dept.
Santa Monica, CA 90404-1249 - Phone
- (424) 259-8405
- NPI assigned
- Jul 10, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G067565 | CA | Primary |
Addresses
Primary practice location
1250 16TH St
Santa Monica-UCLA Medical Center, Emergency Dept.
Santa Monica, CA 90404-1249
Mailing address
1990 N California Blvd
Suite 400
Walnut Creek, CA 94596-3742
Phone (925) 482-2811
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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 93.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G067565 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vep MLK Emergency Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Capital Hospitalist Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Regents of the Univ of Ca Emer Med | Emergency Medicine | Current | Accepting new patients |
| The Regents of the University of California | Past | Accepting new patients | |
| UCLA Medical Group | Emergency Medicine | Past | Accepting new patients |
Locations
1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000
File 55675
Los Angeles, CA 90074
1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695
Interoperability endpoints
- mchenevert60002@direct.uclahealth.org
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.
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1992178222
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1104889138
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1841679289
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1982849105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436400000000",
"number": "1386678746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1990 N CALIFORNIA BLVD",
"address_2": "SUITE 400",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945963742",
"telephone_number": "925-482-2811",
"fax_number": "925-482-2834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 16TH ST",
"address_2": "SANTA MONICA-UCLA MEDICAL CENTER, EMERGENCY DEPT.",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041249",
"telephone_number": "424-259-8405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENEVERT",
"first_name": "MARTIN",
"middle_name": "LOUIS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2015-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G067565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.