NPIMap

Organization Active NPI

An Pang Chieng MD a Professional Corporation

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1336189117
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A8055 Issued in CA
Legal business name
AN PANG CHIENG MD A PROFESSIONAL CORPORATION
Practice address
3301 N Eastern Ave
Los Angeles, CA 90032-1931
Phone
(323) 225-2351
Fax
(323) 225-7555
NPI assigned
Jun 8, 2006
Last updated
Oct 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
An Pang Chieng, M.D.NPI 1821030305
Title
Owner/President
Phone
(323) 225-2351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A8055 CA Primary
Internal Medicine Physician 207R00000X G66648 CA
General Practice Physician 208D00000X A48048 CA

Addresses

Primary practice location

3301 N Eastern Ave
Los Angeles, CA 90032-1931

Mailing address

3301 N Eastern Ave
Los Angeles, CA 90032-1931
Phone (323) 225-2351

Other identifiers 3

IdentifierTypeStateIssuer
00A480480MedicaidCA
00G666480MedicaidCA
00AX80550MedicaidCA

Other names 1

  • EL SERENO MEDICAL GROUP INC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051018001181 CA Part B Supplier - Clinic/Group Practice 5799701827 Receives reassigned benefits from 2 practitioners
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory
Tax ID family
An Pang Chieng MD a Medical Professional Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1336189117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 N EASTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900321931",
            "telephone_number": "323-225-2351",
            "fax_number": "323-225-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 N EASTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900321931",
            "telephone_number": "323-225-2351",
            "fax_number": "323-225-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AN PANG CHIENG MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "CHIENG",
        "authorized_official_first_name": "AN PANG",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "323-225-2351",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8055",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G66648",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A48048",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A480480",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G666480",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX80550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EL SERENO MEDICAL GROUP INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.