Active NPI
Eddie C Cheung, MD
- Gastroenterology Physician
- Oakland, CA
National Provider Identifier
1255305447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- C40226
- Practice address
- 388 9TH St Ste 218
Oakland, CA 94607-4293 - Phone
- (510) 654-5555
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hepatology Physician | 207RI0008X | C40226 | CA | |
| Gastroenterology Physician | 207RG0100X | C40226 | CA | Primary |
Addresses
Primary practice location
388 9TH St Ste 218
Oakland, CA 94607-4293
Mailing address
388 9TH St Ste 218
Oakland, CA 94607-4293
Phone (510) 654-5555
Other practice location 1
2340 Clay St Fl 2
San Francisco, CA 94115-1932
Phone (415) 600-1020
Other practice location 2
1431 Noriega St
San Francisco, CA 94122-4431
Phone (415) 600-1020
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255305447 | Medicaid | CA | |
| 00C402260 | Medicaid | CA | |
| C40226 | Other | CA | STATE MEDICAL LICENSE |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C40226 | CA | MD | Hepatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eddie C Cheung MD | Gastroenterology | Past | Accepting new patients |
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.
-
- Gastroenterology Physician
- Oakland, CA
- NPI 1306004106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1255305447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "388 9TH ST STE 218",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946074293",
"telephone_number": "510-654-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "388 9TH ST STE 218",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946074293",
"telephone_number": "510-654-5555"
}
],
"practiceLocations": [
{
"address_1": "2340 Clay St Fl 2",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941151932",
"country_code": "US",
"telephone_number": "415-600-1020",
"fax_number": "415-600-1005",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1431 Noriega St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941224431",
"country_code": "US",
"telephone_number": "415-600-1020",
"fax_number": "415-600-1005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEUNG",
"first_name": "EDDIE",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0008X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hepatology",
"state": "CA",
"license": "C40226",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "C40226",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255305447",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C402260",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "C40226",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.