Individual provider Active NPI

Judith Ellen Sherman, M.D.

  • Psychiatry Physician
  • West Covina, CA
National Provider Identifier
1831216373
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A40609 Issued in CA
Practice address
2226 E Rio Verde Dr
West Covina, CA 91791-2067
Phone
(626) 332-1367
Fax
(626) 332-0857
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A40609 CA Primary

Addresses

Primary practice location

2226 E Rio Verde Dr
West Covina, CA 91791-2067

Mailing address

2357 Manning Ave
Los Angeles, CA 90064-2207
Phone (310) 475-8205

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050613001109 CA Practitioner - Psychiatry 7315981115 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seneca Healthcare DistrictGroup PAC ID 8820907140, shared by 3 NPIs, 22 clinicians
Telehealthdocs Medical CorporationGroup PAC ID 6204240229, 2 clinicians

Practice addresses (Care Compare)

130 Brentwood Dr
Chester, CA 96020
Phone (530) 258-2067

199 Reynolds Rd
PO Box 737
Chester, CA 96020

2215 Truxtun Ave
Suite 100
Bakersfield, CA 93301-3602
Phone (661) 840-9270

PO Box
Suite 737
Chester, CA 96020

Hospital & facility affiliations

  • Seneca District Hospital Hospital, Chester, CA, CCN 051327

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A40609CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Telehealthdocs Medical Corporation CurrentSince Dec 1, 2020 Accepting new patients
Eastern Plumas Health Care Home Health CurrentSince Jan 1, 2022 Accepting new patients
Eastern Plumas Health Care District CurrentSince Jan 1, 2022 Accepting new patients

Locations

2215 Truxtun Ave
Ste 100
Bakersfield, CA 93301
Phone (661) 679-3752

1017 Ellington St
Delano, CA 93215
Phone (661) 725-9489

500 1st Ave
Portola, CA 96122
Phone (530) 832-4277

480 1st Ave
Portola, CA 96122
Phone (530) 832-6600

100 E North St
Taft, CA 93268
Phone (661) 765-1935

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1831216373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2357 MANNING AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642207",
            "telephone_number": "310-475-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 E RIO VERDE DR",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917912067",
            "telephone_number": "626-332-1367",
            "fax_number": "626-332-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "JUDITH",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A40609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.