Active NPI
Edward A Cherlin, MD
- Neurology with Special Qualifications in Child Neurology Physician
- Temecula, CA
National Provider Identifier
1447225792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- C31363
- Practice address
- 29645 Rancho California Rd Ste 133
Temecula, CA 92591-5285 - Phone
- (951) 695-6238
- Fax
- (800) 670-4969
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | C31363 | CA | Primary |
Addresses
Primary practice location
29645 Rancho California Rd Ste 133
Temecula, CA 92591-5285
Mailing address
29645 Rancho California Rd Ste 133
Temecula, CA 92591-5285
Phone (951) 695-6238
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C313630 | Medicaid | CA | |
| C31363 | Other | CA | MEDICAL BOARD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Diego Psychiatric Medical Group Inc | Past | Accepting new patients | |
| Gabriel Lam, Licensed Clinical Social Worker, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- El Centro, CA
- NPI 1487173522
-
- Psychiatry Physician
- San Diego, CA
- NPI 1295804003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407283200000",
"number": "1447225792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29645 RANCHO CALIFORNIA RD STE 133",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925915285",
"telephone_number": "951-695-6238",
"fax_number": "800-670-4969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29645 RANCHO CALIFORNIA RD STE 133",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925915285",
"telephone_number": "951-695-6238",
"fax_number": "800-670-4969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERLIN",
"first_name": "EDWARD",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2014-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "CA",
"license": "C31363",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C313630",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL BOARD",
"identifier": "C31363",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.