Individual provider Active NPI

Derek Cheung, MD

  • Internal Medicine Physician
  • San Marino, CA
National Provider Identifier
1336671981
Registry record updated Jan 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A158438 Issued in CA
Practice address
375 Huntington Dr Ste G
San Marino, CA 91108-2357
Phone
(626) 441-4231
NPI assigned
Apr 3, 2017
Last updated
Jan 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A158438 CA Primary

Addresses

Primary practice location

375 Huntington Dr Ste G
San Marino, CA 91108-2357

Mailing address

229 Florence Ave
Monterey Park, CA 91755-2075
Phone (661) 609-2978

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
I20201001000404 CA Practitioner - Internal Medicine 1759700354 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A158438CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Valley Health Corporation CurrentSince Aug 31, 2020 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jul 10, 2025 Accepting new patients
The Huntington Medical Foundation Internal Medicine CurrentSince Nov 1, 2021 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jul 10, 2025 Accepting new patients
Northeast Valley Health Corporation CurrentSince Aug 31, 2020 Accepting new patients
Northeast Valley Health Corporation Current Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients

Locations

4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784

4867 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 783-7920

7843 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 765-8656

10 Congress St
Ste 208
Pasadena, CA 91105
Phone (626) 792-2166

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

65 N Madison Ave
Ste 800
Pasadena, CA 91101
Phone (626) 792-3141

1172 N Maclay Ave
San Fernando, CA 91340
Phone (818) 898-1388

1600 San Fernando Rd
San Fernando, CA 91340
Phone (818) 365-8086

375 Huntington Dr
Ste G
San Marino, CA 91108
Phone (626) 441-4231

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: derek.cheung.p1@direct.cscla.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642809600000",
    "number": "1336671981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 FLORENCE AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917552075",
            "telephone_number": "661-609-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 HUNTINGTON DR STE G",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082357",
            "telephone_number": "626-441-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEUNG",
        "first_name": "DEREK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2022-01-22",
        "certification_date": "2022-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A158438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marino, CA

Sources for this page

Verify at the official NPI Registry.