Individual provider Active NPI

Stanley Herman Cheng, DO

  • Allergy Physician
  • Sacramento, CA
National Provider Identifier
1063916567
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
20A21642 Issued in CA
Practice address
5609 J St Ste C
Sacramento, CA 95819-3957
Phone
(916) 453-8696
Fax
(916) 453-8715
NPI assigned
Mar 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A21642 CA
Allergy Physician 207KA0200X 20A21642 CA Primary

Addresses

Primary practice location

5609 J St Ste C
Sacramento, CA 95819-3957

Mailing address

5609 J St Ste C
Sacramento, CA 95819-3957

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
I20231013001767 CA Practitioner - Allergy/Immunology 7012262397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1561 Creekside Dr
Suite 130
Folsom, CA 95630-3494
Phone (916) 580-1891

Hospital & facility affiliations

  • Marshall Medical Center Hospital, Placerville, CA, CCN 050254

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A21642CAMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Allergy and Respiratory Disease Center a Med Corp Allergy CurrentSince Nov 1, 2023 Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1561 Creekside Dr
Ste 130
Folsom, CA 95630
Phone (916) 453-8696

1504 Eureka Rd
Ste 150
Roseville, CA 95661
Phone (916) 233-2631

1451 Secret Ravine Pkwy
Ste 150
Roseville, CA 95661
Phone (916) 453-8696

5609 J St
Ste C
Sacramento, CA 95819
Phone (916) 453-8696

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 1

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1063916567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 J ST STE C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5609 J ST STE C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193957",
            "telephone_number": "916-453-8696",
            "fax_number": "916-453-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "STANLEY",
        "middle_name": "HERMAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A21642",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "20A21642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.