Organization Active NPI

Christi Cheng MD Inc

  • Family Medicine Physician
  • San Leandro, CA
National Provider Identifier
1225187339
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CHRISTI CHENG MD INC
Practice address
13851 E 14TH St Ste 102
San Leandro, CA 94578-2628
Phone
(510) 351-2100
Fax
(510) 357-3389
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Yvonne Bell
Title
Business Office
Phone
(510) 351-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

13851 E 14TH St Ste 102
San Leandro, CA 94578-2628

Mailing address

13851 E 14TH St Ste 102
San Leandro, CA 94578-2628
Phone (510) 351-2100

Other identifiers 1

IdentifierTypeStateIssuer
00G772110OtherCACALIFORNIA LICENSE

Other names 1

  • christi cheng md inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051003000910 CA Part B Supplier - Clinic/Group Practice 5092740530 Receives reassigned benefits from 1 practitioner
Practice locations: San Leandro, 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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1225187339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13851 E 14TH ST STE 102",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782628",
            "telephone_number": "510-351-2100",
            "fax_number": "510-357-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13851 E 14TH ST STE 102",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782628",
            "telephone_number": "510-351-2100",
            "fax_number": "510-357-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTI CHENG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "BUSINESS OFFICE",
        "authorized_official_telephone_number": "510-351-2100"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE",
            "identifier": "00G772110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "christi cheng md inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.