Individual provider Active NPI

Kyle Cheng, M.D.

  • Dermatology Physician
  • Burbank, CA
National Provider Identifier
1306103064
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
149110 Issued in CA
Practice address
2625 W Alameda Ave Ste 404
Burbank, CA 91505-4817
Phone
(818) 843-9020
Fax
(818) 843-9021
NPI assigned
Apr 19, 2012
Last updated
Aug 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 149110 CA Primary
Internal Medicine Physician 207R00000X 149110 CA

Addresses

Primary practice location

2625 W Alameda Ave Ste 404
Burbank, CA 91505-4817

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

100 Ucla Medical Plz Ste 216
Los Angeles, CA 90024-6990
Phone (310) 208-2266

Other practice location 2

2001 Santa Monica Blvd Ste 1070
Santa Monica, CA 90404-2202
Phone (310) 206-8694

Other practice location 3

200 Ucla Medical Plz Ste 450
Los Angeles, CA 90095-8344
Phone (310) 825-6911

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
I20170719002044 CA Practitioner - DermatologyPractitioner - Internal Medicine 2062782352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 8426956160, 33 clinicians
Venice Family ClinicGroup PAC ID 2264339126, shared by 17 NPIs, 101 clinicians

Practice addresses (Care Compare)

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381

2020 Santa Monica Blvd
Suite 510
Santa Monica, CA 90404-2131
Phone (310) 582-6360

604 Rose Ave
Venice, CA 90291-2767
Phone (310) 664-7901

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
79.37
Promoting interoperability
100
Improvement activities
40
Cost
73.65

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
89.72
Promoting interoperability
100
Improvement activities
40
Cost
67.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions361
Removal or shaving of skin growth28
Skin biopsy113

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Internal Medicine CurrentSince Sep 1, 2017 Accepting new patients
The Regents of the University of California Dermatology CurrentSince Sep 1, 2017 Accepting new patients
The Regents of the University of California CurrentSince Sep 1, 2017 Accepting new patients
UCLA Medical Group Dermatology Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

2625 W Alameda Ave
Ste 404
Burbank, CA 91505
Phone (818) 260-8733

100 UCLA Medical Plz
Ste 216
Los Angeles, CA 90024
Phone (310) 206-7546

200 Medical Plz
Ste 450
Los Angeles, CA 90095
Phone (310) 301-8715

200 Medical Plz
Ste 465
Los Angeles, CA 90095
Phone (310) 825-5510

200 UCLA Medical Plz
Ste 450
Los Angeles, CA 90095
Phone (310) 825-6911

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 55737
Los Angeles, CA 90074

2001 Santa Monica Blvd
Ste 1070
Santa Monica, CA 90404
Phone (310) 315-7900

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

2020 Santa Monica Blvd
Ste 510
Santa Monica, CA 90404
Phone (310) 633-8400

100 Moody Ct
Ste 110
Thousand Oaks, CA 91360
Phone (805) 418-3500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kcheng753294@direct.ochin.org

Organizations & group practices 5

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 2

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": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1306103064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 W ALAMEDA AVE STE 404",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054817",
            "telephone_number": "818-843-9020",
            "fax_number": "818-843-9021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Ucla Medical Plz Ste 216",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900246990",
            "country_code": "US",
            "telephone_number": "310-208-2266",
            "fax_number": "310-206-8694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Santa Monica Blvd Ste 1070",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042202",
            "country_code": "US",
            "telephone_number": "310-206-8694",
            "fax_number": "310-586-9738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Ucla Medical Plz Ste 450",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900958344",
            "country_code": "US",
            "telephone_number": "310-825-6911",
            "fax_number": "310-794-7005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENG",
        "first_name": "KYLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-19",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "149110",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "149110",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.