Individual provider Active NPI

Nicole Cheung, DO

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1164862728
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A13688 Issued in CA
Practice address
1809 Verdugo Blvd Ste 350
Glendale, CA 91208-1476
Phone
(818) 790-1616
Fax
(818) 790-2816
NPI assigned
Jun 27, 2013
Last updated
Jul 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 20A13688 CA
Family Medicine Physician 207Q00000X 20A13688 CA Primary

Addresses

Primary practice location

1809 Verdugo Blvd Ste 350
Glendale, CA 91208-1476

Mailing address

959 E Walnut St Ste 122
Pasadena, CA 91106-1451
Phone (626) 765-4182

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
I20160623002516 CA Practitioner - Family Practice 0345531240 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Matthew Lew MD IncGroup PAC ID 0941746341, 4 clinicians

Practice addresses (Care Compare)

1809 Verdugo Blvd
Glendale, CA 91208-1402
Phone (818) 790-4730

959 E Walnut St
Suite 122
Pasadena, CA 91106-1451
Phone (626) 765-4182

9810 Las Tunas Dr
Temple City, CA 91780-2208
Phone (626) 309-7600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A13688CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Huntington Medical Foundation Family Medicine CurrentSince Aug 15, 2016 Accepting new patients
Nicole Cheung, D.O., Inc. Neuromusculoskeletal Medicine & Omm CurrentSince Jul 20, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince Apr 16, 2018 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Apr 16, 2018 Accepting new patients
Huntington Medical Foundation Family Medicine Past Accepting new patients
The Huntington Medical Foundation Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Providence Facey Medical Foundation Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

65 N Madison Ave
Ste 800
Pasadena, CA 91101
Phone (626) 792-3141

959 E Walnut St
Ste 122
Pasadena, CA 91106
Phone (626) 658-8697

601 Torrance Blvd
#1182
Redondo Beach, CA 90277

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

9810 Las Tunas Dr
Temple City, CA 91780
Phone (626) 309-7600

Interoperability endpoints

  • Direct secure messaging: ncheung207241@westdirect.optum.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1164862728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 E WALNUT ST STE 122",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061451",
            "telephone_number": "626-765-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 VERDUGO BLVD STE 350",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081476",
            "telephone_number": "818-790-1616",
            "fax_number": "818-790-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEUNG",
        "first_name": "NICOLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "20A13688",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A13688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.