Physician Compare National (NPI:1992891956)

HEALTHCARE PROVIDER: SHEILA CHERIAN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1992891956
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6406817493
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20041022000749
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHERIAN
	Individual professional last name
Provider First Name	SHEILA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	NEPHROLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	NEPHROLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	EDGARD M. VERA, MD,INC.
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3971640988
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	17207 JASMINE ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2
	Group Practice or individual's line 2 address
City	VICTORVILLE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	923957786
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7607804179
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050300
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST MARY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050709
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	DESERT VALLEY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050517
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	VICTOR VALLEY GLOBAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y