NPIMap

Individual provider Active NPI

Sheila Cherian, MD

  • Nephrology Physician
  • Victorville, CA
National Provider Identifier
1992891956
Registry record updated Aug 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A87803 Issued in CA
Practice address
17207 Jasmine St
2
Victorville, CA 92395
Phone
(760) 780-4179
Fax
(760) 241-4591
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A87803 CA Primary

Addresses

Primary practice location

17207 Jasmine St
2
Victorville, CA 92395

Mailing address

17207 Jasmine St.
#2
Victorville, CA 92395-7786
Phone (760) 780-4179

Other identifiers 1

IdentifierTypeStateIssuer
00A878030MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041022000749 CA Practitioner - Internal MedicinePractitioner - Nephrology 6406817493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edgard M Vera MD IncGroup PAC ID 3971640988, 4 clinicians

Practice addresses (Care Compare)

17207 Jasmine St
Suite 2
Victorville, CA 92395-8322
Phone (760) 780-4179

Hospital & facility affiliations

  • DaVita Mojave Sage Dialysis Dialysis facility, Victorville, CA, CCN 552708
  • DaVita Victor Valley Dialysis Dialysis facility, Apple Valley, CA, CCN 052561
  • DaVita Vista Del Sol Dialysis Dialysis facility, Victorville, CA, CCN 552834
  • DaVita Hesperia Dialysis Center Dialysis facility, Hesperia, CA, CCN 552626
  • Providence St Mary Medical Center Hospital, Apple Valley, CA, CCN 050300
  • Desert Valley Hospital Hospital, Victorville, CA, CCN 050709
  • Victor Valley Global Medical Center Hospital, Victorville, CA, CCN 050517

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A87803CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edgard M Vera MD Inc Nephrology CurrentSince Sep 1, 2010 Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients
St. Mary Medical Center Past Accepting new patients
Victor Valley Community Hospital Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients

Locations

16049 Kamana Rd
Apple Valley, CA 92307
Phone (760) 242-8311

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

17207 Jasmine St
Ste 2
Victorville, CA 92395
Phone (760) 780-4179

17207 Jasmine St
Victorville, CA 92395
Phone (760) 241-8167

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sheila.cherian@direct.davitaphysiciansolutions.com

Organizations & group practices 5

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 9

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345766400000",
    "number": "1992891956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17207 JASMINE ST.",
            "address_2": "#2",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957786",
            "telephone_number": "760-780-4179",
            "fax_number": "760-241-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17207 JASMINE ST",
            "address_2": "2",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92395",
            "telephone_number": "760-780-4179",
            "fax_number": "760-241-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERIAN",
        "first_name": "SHEILA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2012-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A87803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A878030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.