Individual provider Active NPI

Matthew B Cherno, M.D.

  • Diagnostic Radiology Physician
  • San Bruno, CA
National Provider Identifier
1740301555
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
N0697 Issued in TX
Practice address
1001 Sneath LN Ste 100
San Bruno, CA 94066-2349
Phone
(650) 866-7111
Fax
(650) 866-7183
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01062468A IN
Diagnostic Radiology Physician 2085R0202X N0697 TX Primary

Addresses

Primary practice location

1001 Sneath LN Ste 100
San Bruno, CA 94066-2349

Mailing address

1001 Sneath LN Ste 100
San Bruno, CA 94066-2349
Phone (650) 866-7111

Other identifiers 1

IdentifierTypeStateIssuer
2026973-04MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at Houston, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

San Francisco, CA 94117
Phone (832) 605-4333

309 Queens Gate CT
Las Vegas, NV 89145-8679

767 Buena Vista Ave W Apt
Suite 301
San Francisco, CA 94117-4135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of North Texas PA Diagnostic Radiology Past Accepting new patients
Southwest Imaging and Interventional Specialists, P.a. Diagnostic Radiology Past Accepting new patients
North Star FM, LP Past Accepting new patients
North Star MRI LP Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mcherno@yourcarecommunity.org

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1740301555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SNEATH LN STE 100",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940662349",
            "telephone_number": "650-866-7111",
            "fax_number": "650-866-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SNEATH LN STE 100",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940662349",
            "telephone_number": "650-866-7111",
            "fax_number": "650-866-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNO",
        "first_name": "MATTHEW",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01062468A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "N0697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2026973-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bruno, CA

Sources for this page

Verify at the official NPI Registry.