Organization Active NPI

Marlyn Cheng MD Inc

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1164633749
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A52302 Issued in CA
Legal business name
MARLYN CHENG MD INC
Practice address
1171 S Robertson Blvd Ste 175
Los Angeles, CA 90035-1403
Phone
(310) 625-4944
Fax
(310) 559-9507
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Authorized official

Name
Marlyn Cheng, M.D.NPI 1295842128
Title
President
Phone
(310) 625-4944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X A52302 CA Primary

Addresses

Primary practice location

1171 S Robertson Blvd Ste 175
Los Angeles, CA 90035-1403

Mailing address

1171 S Robertson Blvd
Suite 175
Los Angeles, CA 90035-1403
Phone (310) 625-4944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071218000193 CA Part B Supplier - Clinic/Group Practice 2961592605 Receives reassigned benefits from 1 practitioner
Practice locations: Monterey Park, CA; South El Monte, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1164633749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 S ROBERTSON BLVD",
            "address_2": "SUITE 175",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351403",
            "telephone_number": "310-625-4944",
            "fax_number": "310-559-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 S ROBERTSON BLVD STE 175",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351403",
            "telephone_number": "310-625-4944",
            "fax_number": "310-559-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLYN CHENG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "MARLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-625-4944",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A52302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.