Individual provider Active NPI

Eddie C Cheung, MD

  • Gastroenterology Physician
  • Oakland, CA
National Provider Identifier
1255305447
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
C40226 Issued in CA
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

Updated by the provider on May 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1255305447MedicaidCA
00C402260MedicaidCA
C40226OtherCASTATE 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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C40226CAMDHepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eddie C Cheung MD Gastroenterology PastSince Jun 21, 2010 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.

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.

Verify at the official NPI Registry.