Active NPI
Samantha Beth Cherin, NP, CNS
- Acute Care Nurse Practitioner
- West Hollywood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- NP95001059
- Practice address
- 8700 Beverly Blvd
West Hollywood, CA 90048-1804 - Phone
- (310) 795-4294
- NPI assigned
- Oct 6, 2014
- Last updated
- Feb 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95001059 | CA | MD | Acute Care Nurse Practitioner |
| CNS4168 | CA | MD | Acute Care Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chaparral Medical Group Inc. | Current | Accepting new patients | |
| Chaparral Medical Group, Inc. | Current | Accepting new patients | |
| Concertocare Medical Group of California, P.C. | Current | 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
- 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.
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- NPI 1922777259
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- Dermatology Physician
- Rancho Cucamonga, CA
- NPI 1093777666
-
- Cardiovascular Disease Physician
- Upland, CA
- NPI 1639869605
-
- Cardiovascular Disease Physician
- Chino, CA
- NPI 1821554866
-
- Endocrinology, Diabetes & Metabolism Physician
- Pomona, CA
- NPI 1114989241
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.