Individual provider Active NPI

Cheri Lynn Geist, PA-C, MPAP

  • Physician Assistant
  • Tarzana, CA
National Provider Identifier
1699159657
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
52637 Issued in CA
Practice address
5525 Etiwanda Ave Ste 224
Tarzana, CA 91356-6140
Phone
(818) 344-4803
Fax
(818) 344-4813
NPI assigned
Jul 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 60593874 WA
Physician Assistant 363A00000X 52637 CA Primary

Addresses

Primary practice location

5525 Etiwanda Ave Ste 224
Tarzana, CA 91356-6140

Mailing address

21311 Madrona Ave Ste 101
Torrance, CA 90503-5970

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cgeist494972@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 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
I20151215001275 WA Practitioner - Physician Assistant 8224339346 Reassigns benefits to 1 organization
I20181206002031 CA Practitioner - Physician Assistant 8224339346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4849 Van Nuys Blvd
Suite 203
Sherman Oaks, CA 91403-2122
Phone (818) 616-4429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
52637CAMDMarriage & Family Therapist
60593874WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1437264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1699159657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21311 MADRONA AVE STE 101",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035970",
            "fax_number": "310-792-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 ETIWANDA AVE STE 224",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566140",
            "telephone_number": "818-344-4803",
            "fax_number": "818-344-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIST",
        "first_name": "CHERI",
        "middle_name": "LYNN",
        "credential": "PA-C, MPAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-19",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "60593874",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgeist494972@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "5525 Etiwanda Ave Ste 224",
            "city": "Tarzana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913566140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.