Individual provider Active NPI

Samantha Beth Cherin, NP, CNS

  • Acute Care Nurse Practitioner
  • West Hollywood, CA
National Provider Identifier
1417350307
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
NP95001059 Issued in CA
Practice address
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone
(310) 795-4294
NPI assigned
Oct 6, 2014
Last updated
Feb 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X NP95001059 CA Primary
Acute Care Clinical Nurse Specialist 364SA2100X CNS4168 CA

Addresses

Primary practice location

8700 Beverly Blvd
West Hollywood, CA 90048-1804

Mailing address

4336 Don Luis Dr
Los Angeles, CA 90008-4233
Phone (310) 795-4294

Other practice location 1

5900 W Olympic Blvd
Los Angeles, CA 90036-4671
Phone (310) 795-4294

Other practice location 2

510 S Alvarado St
Los Angeles, CA 90057-2904
Phone (310) 795-4294

Other practice location 3

2001 Santa Monica Blvd
Suite 560W
Santa Monica, CA 90404-2102
Phone (310) 582-7907

Other names 1

  • Samantha Beth Theaker Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160216001090 CA Practitioner - Nurse Practitioner 9537464334 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95001059CAMDAcute Care Nurse Practitioner
CNS4168CAMDAcute Care Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Chaparral Medical Group Inc. CurrentSince Dec 15, 2025 Accepting new patients
Chaparral Medical Group, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Concertocare Medical Group of California, P.C. CurrentSince Dec 24, 2023 Accepting new patients
Chaparral Medical Group Inc Past Accepting new patients

Locations

109 H St
Bakersfield, CA 93304
Phone (213) 497-3218

7677 Center Ave
Huntington Beach, CA 92647
Phone (714) 766-6560

7677 Center Ave
Ste 214
Huntington Beach, CA 92647
Phone (310) 433-9507

1801 W Olympic Blvd
Pasadena, CA 91199

1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796

9190 Haven Ave
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 581-6732

585 N Mountain Ave
Ste A
Upland, CA 91786
Phone (909) 608-7546

811 Main St
#7
Kansas City, MO 64105

Interoperability endpoints

  • Direct secure messaging: samantha.cherin.1@25843.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1417350307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4336 DON LUIS DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900084233",
            "telephone_number": "310-795-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481804",
            "telephone_number": "310-795-4294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 W Olympic Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900364671",
            "country_code": "US",
            "telephone_number": "310-795-4294",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 S Alvarado St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900572904",
            "country_code": "US",
            "telephone_number": "310-795-4294",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Santa Monica Blvd",
            "address_2": "Suite 560W",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042102",
            "country_code": "US",
            "telephone_number": "310-582-7907",
            "fax_number": "310-496-3172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERIN",
        "first_name": "SAMANTHA",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "NP, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "NP95001059",
            "primary": true
        },
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "CA",
            "license": "CNS4168",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "THEAKER",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.