Marta Cheatham-Lott, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Redlands, CA
NPI 1992706451 · NPPES record last updated Aug 31, 2016
Key facts
- NPI
- 1992706451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- A55758 (CA)
- Practice address
- 2 W Fern Ave
Redlands, CA 92373-5916 - Phone
- (909) 793-3311
- Fax
- (909) 335-9951
- NPI assigned
- Aug 9, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 22
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Loma Linda University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adventist Health Clearlake Hospital Inc.
Practice addresses (Care Compare)
15630 18TH Ave
Clearlake, CA 95422-9336
Phone (707) 994-6486
Hospital & facility affiliations
- Adventist Health Clearlake
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060209000457 | CA | Practitioner - Obstetrics/Gynecology | 1153336300 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A55758 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Clearlake Hospital Inc. | Current |
Accepting new patients | |
| Beaver Medical Group P C | Obstetrics & Gynecology | Current |
Accepting new patients |
| Beaver Medical Group P C | Current |
Accepting new patients | |
| Obhg California, P.C. | Obstetrics & Gynecology | Current |
Accepting new patients |
| Redlands Community Hospital | Past | Accepting new patients | |
| San Gorgonio Memorial Hospital | Past | Accepting new patients | |
| Adventist Health Clearlake Hospital, Inc | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Prime Healthcare Centinela, LLC | Past | Accepting new patients | |
| Axminster Medical Group | Past | Accepting new patients | |
| Axminster Medical Group | Past | Accepting new patients | |
| Community Alliance Medical Group Inc | Past |
Accepting new patients |
Locations
400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000
15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820
15230 Lakeshore Dr
Clearlake, CA 95422
Phone (707) 995-4500
1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071
5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711
25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000
100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445
39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911
2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137
2 W Fern Ave
#1112
Redlands, CA 92373
350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
400 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 569-7279
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BJCEDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A55758 | CA | Yes |
Addresses
Primary practice location
2 W Fern Ave
Redlands, CA 92373-5916
Mailing address
PO Box 10069
San Bernardino, CA 92423-0069
Phone (909) 793-3311
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A557580 | Medicaid | CA |
Other providers in Redlands, CA
- Christina Chavez
- Jovan M Chavez
- Laura Chavez
- Nathaly Chavez
- Naina Chawla
- Seth Esly Chelliah
- Charles T Chen
- Melody Song Jei Chen
- Xiaorui Chen
- Raichel Mary Cherian
All providers in Redlands, CA · Obstetrics & Gynecology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.