Individual provider Active NPI

Audrey Chernofsky, R.P.T

  • Community Health Worker
  • Los Angeles, CA
National Provider Identifier
1659553071
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
PT10575 Issued in CA
Practice address
1515 S Beverly Dr
Suite 102
Los Angeles, CA 90035-3036
Phone
(310) 963-8196
NPI assigned
Nov 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X PT10575 CA Primary

Addresses

Primary practice location

1515 S Beverly Dr
Suite 102
Los Angeles, CA 90035-3036

Mailing address

1515 S Beverly Dr
Suite 102
Los Angeles, CA 90035-3036
Phone (310) 963-8196

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

State licenses

LicenseStateTypeSpecialty
PT10575CAMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Playa Physical Therapy PastSince Jul 1, 2004 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: audrey.chernofsky.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1659553071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S BEVERLY DR",
            "address_2": "SUITE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353036",
            "telephone_number": "310-963-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S BEVERLY DR",
            "address_2": "SUITE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353036",
            "telephone_number": "310-963-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNOFSKY",
        "first_name": "AUDREY",
        "name_prefix": "Ms.",
        "credential": "R.P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": "PT10575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.