Organization Active NPI

Scott Cherkasky MD a Ca Professional Med Corp

  • Psychiatry Physician
  • Encino, CA
National Provider Identifier
1578642013
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SCOTT CHERKASKY MD A CA PROFESSIONAL MED CORP
Practice address
16255 Ventura Blvd
Ste. 806
Encino, CA 91436-2302
Phone
(213) 742-6407
Fax
(213) 748-9353
NPI assigned
Nov 3, 2006
Last updated
Apr 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Scott Cherkasky, MDNPI 1821194945
Title
President
Phone
(213) 742-6407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

16255 Ventura Blvd
Ste. 806
Encino, CA 91436-2302

Mailing address

16255 Ventura Blvd
Ste. 806
Encino, CA 91436-2302
Phone (213) 742-6407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090514000193 CA Part B Supplier - Clinic/Group Practice 0648333062 Receives reassigned benefits from 1 practitioner
Practice locations: Encino, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1578642013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16255 VENTURA BLVD",
            "address_2": "STE. 806",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362302",
            "telephone_number": "213-742-6407",
            "fax_number": "213-748-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16255 VENTURA BLVD",
            "address_2": "STE. 806",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362302",
            "telephone_number": "213-742-6407",
            "fax_number": "213-748-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT CHERKASKY MD A CA PROFESSIONAL MED CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "CHERKASKY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-742-6407",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.