NPIMap

Individual provider Active NPI

Tien H. Cheng, M.D.

  • Diagnostic Radiology Physician
  • Riverside, CA
National Provider Identifier
1336108695
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME86768 Issued in FL
Practice address
1770 Iowa Ave Ste 280
Riverside, CA 92507-7401
Phone
(951) 786-0801
Fax
(951) 786-0460
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X G41600 CA
Diagnostic Radiology Physician 2085R0202X G41600 CA
Diagnostic Ultrasound Physician 2085U0001X G41600 CA
Diagnostic Radiology Physician 2085R0202X ME86768 FL Primary

Addresses

Primary practice location

1770 Iowa Ave Ste 280
Riverside, CA 92507-7401

Mailing address

1770 Iowa Ave Ste 280
Riverside, CA 92507-7401
Phone (951) 786-0801

Other identifiers 1

IdentifierTypeStateIssuer
00G416000MedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41600CAMDGeneral Practice Dentistry
G41600CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Bay Radiology Associates PA Diagnostic Radiology PastSince May 17, 2020 Accepting new patients
Hillsborough Radiology Consultants, PL Diagnostic Radiology Past Accepting new patients
Carrollwood Diagnostic Imaging Diagnostic Radiology Past Accepting new patients
Pco PC Diagnostic Radiology Past Accepting new patients
South Bay Hospital Outpatient Diagnostic/Imaging Center Diagnostic Radiology Past Accepting new patients
Southeast Radiology Associates PL Nuclear Radiology Past Accepting new patients

Organizations & group practices 6

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1336108695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 IOWA AVE STE 280",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925077401",
            "telephone_number": "951-786-0801",
            "fax_number": "951-786-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 IOWA AVE STE 280",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925077401",
            "telephone_number": "951-786-0801",
            "fax_number": "951-786-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "TIEN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "CA",
            "license": "G41600",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G41600",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CA",
            "license": "G41600",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME86768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G416000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.