Individual provider Active NPI

Joyce Cheng, MD, MHS

  • Dermatology Physician
  • La Jolla, CA
National Provider Identifier
1144753468
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A158031 Issued in CA
Practice address
9850 Genesee Ave Ste 850
La Jolla, CA 92037-1233
Phone
(858) 657-0267
Fax
(858) 657-9485
NPI assigned
Apr 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A158031 CA Primary

Addresses

Primary practice location

9850 Genesee Ave Ste 850
La Jolla, CA 92037-1233

Mailing address

9850 Genesee Ave Ste 850
La Jolla, CA 92037-1233
Phone (858) 657-0267

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A158031CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical and Cosmetic Dermatology Inc Dermatology Current Accepting new patients

Locations

9850 Genesee Ave
Ste 850
La Jolla, CA 92037
Phone (858) 554-0120

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1144753468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 850",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371233",
            "telephone_number": "858-657-0267",
            "fax_number": "858-657-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 850",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371233",
            "telephone_number": "858-657-0267",
            "fax_number": "858-657-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "JOYCE",
        "name_prefix": "Dr.",
        "credential": "MD, MHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A158031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.