Individual provider Active NPI

Cheryl Negrin, NP

  • Family Nurse Practitioner
  • Petaluma, CA
National Provider Identifier
1558577692
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP8618 Issued in CA
Practice address
335 S McDowell Blvd
Petaluma, CA 94954-3507
Phone
(707) 293-1110
NPI assigned
May 15, 2007
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP8618 CA Primary
Women's Health Nurse Practitioner 363LW0102X 08618 CA

Addresses

Primary practice location

335 S McDowell Blvd
Petaluma, CA 94954-3507

Mailing address

1469 Humboldt Rd
Suite 200
Chico, CA 95928-9116

Other practice location 1

1469 Humboldt Rd
Suite 200
Chico, CA 95928-9116
Phone (530) 891-1917

Other identifiers 4

IdentifierTypeStateIssuer
ZZR11629FMedicaidCA
CMM70370FMedicaidCA
CMM70116GMedicaidCA
CMM70268FMedicaidCA

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
I20250812000935 CA Practitioner - Nurse Practitioner 8224536966 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP8618CAMDFamily Nurse Practitioner
08618CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regents Univ of California UCSF CurrentSince Jul 25, 2025 Accepting new patients
UCSF Dept of Surgery Past Accepting new patients

Locations

335 S McDowell Blvd
Petaluma, CA 94954
Phone (415) 493-3800

1450 Medical Center Dr
Ste 3
Rohnert Park, CA 94928
Phone (707) 547-4652

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

Interoperability endpoints

  • Direct secure messaging: cnegrinrapaport437857@direct-ucsfmedicalcenter.org

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, 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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1558577692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 HUMBOLDT RD",
            "address_2": "SUITE 200",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959289116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 S MCDOWELL BLVD",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949543507",
            "telephone_number": "707-293-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1469 Humboldt Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959289116",
            "country_code": "US",
            "telephone_number": "530-891-1917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEGRIN",
        "first_name": "CHERYL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP8618",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "08618",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR11629F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM70370F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM70116G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM70268F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

Verify at the official NPI Registry.