Individual provider Active NPI

Yuriy Chernioglo

  • Community Health Registered Nurse
  • Merced, CA
National Provider Identifier
1407280167
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
823049 Issued in CA
Practice address
260 E 15TH St
Merced, CA 95341-6216
Phone
(209) 381-1110
Fax
(209) 381-1102
NPI assigned
Aug 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 85002 CA
Community Health Registered Nurse 163WC1500X 823049 CA Primary

Addresses

Primary practice location

260 E 15TH St
Merced, CA 95341-6216

Mailing address

260 E 15TH St
Merced, CA 95341-6216
Phone (209) 381-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
85002CAMDMarriage & Family Therapist
823049CAMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1407280167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E 15TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416216",
            "telephone_number": "209-381-1110",
            "fax_number": "209-381-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 E 15TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416216",
            "telephone_number": "209-381-1110",
            "fax_number": "209-381-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNIOGLO",
        "first_name": "YURIY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "85002",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "823049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.