Patrick C Cheng, DC, CCSP, QME

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC23636 Issued in CA

Practice address

502 Grand Ave
South San Francisco, CA 94080-3532

Phone

(650) 737-7667

Fax

(650) 737-7996

NPI assigned

Sep 1, 2005

Reactivated

Apr 12, 2006

Last updated

Jan 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1154315406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 GRAND AVE",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803532",
            "telephone_number": "650-737-7667",
            "fax_number": "650-737-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 GRAND AVE",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803532",
            "telephone_number": "650-737-7667",
            "fax_number": "650-737-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "PATRICK",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "DC, CCSP, QME",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2012-01-19",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC23636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chea Anthony Chen III
• Irene Doris Chen
• Kenneth Y. Chen, MD
• Pin-Jung Chen, MD
• Andrew Cheng, MD
• Sharon Cheong-Wong, PHARM D
• Lorena M Cherpan
• Uli Kumar Chettipally, MD
• Eugene Cheung, OTR/L
• Christian Presley Chew, OD

• Sports Physician Chiropractor in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.