Individual provider Active NPI

Cheryl L Bock, NP

  • Nurse Practitioner
  • Upland, CA
National Provider Identifier
1518980374
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8918 Issued in CA
Practice address
999 San Bernardino Rd
Upland, CA 91786-4920
Phone
(909) 985-2811
Fax
(818) 587-2493
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 8918 CA Primary

Addresses

Primary practice location

999 San Bernardino Rd
Upland, CA 91786-4920

Mailing address

PO Box 4419
Woodland Hills, CA 91365-4419
Phone (818) 340-9988

Other identifiers 2

IdentifierTypeStateIssuer
RN374776MedicaidCA
P00020924OtherCARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110104000467 CA Practitioner - Nurse Practitioner 4385833581 Reassigns benefits to 2 organizations
I20221213002947 NC Practitioner - Nurse Practitioner 4385833581 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2005 Pisgah Church Rd
Greensboro, NC 27455-3309
Phone (336) 701-2662

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8918CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Urgent Care Group, Inc CurrentSince Dec 10, 2011 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Feb 1, 2023 Accepting new patients
Mountain View Urgent Care Group, Inc Current Accepting new patients
Alamance Regional Medical Center, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Mediq Urgent Care PC CurrentSince Sep 3, 2022 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Feb 1, 2023 Accepting new patients
Mediq Urgent Care PC CurrentSince Sep 3, 2022 Accepting new patients
Wake Forest University Health Sciences CurrentSince May 30, 2023 Accepting new patients
Mountain View Emergency Physicians Medical Group, Inc. CurrentSince Oct 1, 2002 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Feb 1, 2023 Accepting new patients
Premier Emergency Physicians of California Medical Group PC Nurse Practitioner Past Accepting new patients
Rainbow Basin Emergency Physicians, a Medical Corporation Nurse Practitioner Past Accepting new patients

Locations

12442 Limonite Ave
Unit 102
Eastvale, CA 91752
Phone (951) 393-3000

16465 Sierra Lakes Pkwy
Ste 100
Fontana, CA 92336
Phone (909) 434-1150

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

3866 Rural Retreat Rd
Ste 104
Burlington, NC 27215
Phone (336) 890-4160

1131 N Church St
Greensboro, NC 27401
Phone (336) 358-5100

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

1123 N Church St
Greensboro, NC 27401
Phone (336) 832-4400

2005 Pisgah Church Rd
Greensboro, NC 27455
Phone (336) 701-2662

5718 W Gate City Blvd
Greensboro, NC 27407
Phone (336) 738-1691

1912 Eastchester Dr
Ste 302
High Point, NC 27265
Phone (336) 438-2260

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: cbock2753385@carolinashealthcaresystem.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/18095/brand/2/csg/1/fhir/r4

Organizations & group practices 12

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518980374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4419",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913654419",
            "telephone_number": "818-340-9988",
            "fax_number": "818-587-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 SAN BERNARDINO RD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864920",
            "telephone_number": "909-985-2811",
            "fax_number": "818-587-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCK",
        "first_name": "CHERYL",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "8918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN374776",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00020924",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.