Active NPI
Qiancheng Peng
- Registered Dietitian
- Dublin, CA
National Provider Identifier
1043168735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86358370
- Practice address
- 5211 Demarcus Blvd Apt 128
Dublin, CA 94568-4634 - Phone
- (215) 696-8001
- NPI assigned
- Mar 18, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86358370 | CA | Primary |
Addresses
Primary practice location
5211 Demarcus Blvd Apt 128
Dublin, CA 94568-4634
Mailing address
5211 Demarcus Blvd Apt 128
Dublin, CA 94568-4634
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86358370 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1043168735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5211 DEMARCUS BLVD APT 128",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945684634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5211 DEMARCUS BLVD APT 128",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945684634",
"telephone_number": "215-696-8001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENG",
"first_name": "QIANCHENG",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-18",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86358370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.