Organization Active NPI

Yan Yan Cheng, MD, PA

  • Psychiatry Physician
  • Lubbock, TX
National Provider Identifier
1346526381
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD23592 Issued in OR
Legal business name
YAN YAN CHENG, MD, PA
Practice address
4630 50TH St
Suite 506-a
Lubbock, TX 79414-3521
Phone
(806) 370-0015
Fax
(866) 867-8390
NPI assigned
Oct 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Authorized official

Name
Yan Yan Cheng, MDNPI 1710959440
Title
President
Phone
(806) 370-0015

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD23592 OR Primary

Addresses

Primary practice location

4630 50TH St
Suite 506-a
Lubbock, TX 79414-3521

Mailing address

4630 50TH St
Suite 506-a
Lubbock, TX 79414-3521
Phone (806) 370-0015

National Provider Directory

National Provider Directory

Locations

11130 Jollyville Rd
Ste 204
Austin, TX 78759

4630 50th St
Ste 506A
Lubbock, TX 79414
Phone (806) 370-0015

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1346526381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 50TH ST",
            "address_2": "SUITE 506-A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794143521",
            "telephone_number": "806-370-0015",
            "fax_number": "866-867-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 50TH ST",
            "address_2": "SUITE 506-A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794143521",
            "telephone_number": "806-370-0015",
            "fax_number": "866-867-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAN YAN CHENG, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-21",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "YAN YAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-370-0015",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD23592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.