NPIMap

Individual provider Active NPI

Andrew Cheung, D.O.

  • Family Medicine Physician
  • San Ramon, CA
National Provider Identifier
1366974024
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16852 Issued in CA
Practice address
200 Porter Dr Ste 300
San Ramon, CA 94583-1524
Phone
(925) 838-6511
NPI assigned
Mar 31, 2017
Last updated
Aug 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS020568 PA
Family Medicine Physician 207Q00000X 16852 CA Primary

Addresses

Primary practice location

200 Porter Dr Ste 300
San Ramon, CA 94583-1524

Mailing address

1450 Treat Blvd # 300
Walnut Creek, CA 94597-2168
Phone (925) 952-2828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210903002241 CA Practitioner - Family Practice 4587095245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
John Muir Physician NetworkGroup PAC ID 6608789813, 488 clinicians

Practice addresses (Care Compare)

200 Porter Dr
Suite 300
San Ramon, CA 94583-1524
Phone (925) 838-6511

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS020568PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jul 6, 2020 Accepting new patients
York Hospital CurrentSince Jul 6, 2020 Accepting new patients
York Hospital Current Accepting new patients
York Hospital CurrentSince Jul 6, 2020 Accepting new patients
Wellspan Medical Group CurrentSince Jul 6, 2020 Accepting new patients
John Muir Physician Network CurrentSince Sep 13, 2021 Accepting new patients
John Muir Health Past Accepting new patients
York Hospital Past Accepting new patients

Locations

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840

200 Porter Dr
Ste 300
San Ramon, CA 94583
Phone (925) 838-6500

1450 Treat Blvd
Ste 320
Walnut Creek, CA 94597
Phone (925) 296-9827

1001 S George St
York, PA 17403
Phone (717) 812-7687

1001 S George St
Bldg Mkb
York, PA 17403
Phone (717) 851-2521

2319 S George St
York, PA 17403
Phone (717) 747-9911

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

605 S George St
Ste 200
York, PA 17401
Phone (717) 851-2334

Interoperability endpoints

  • Direct secure messaging: acheung58702@ehr.johnmuirhealth.com

Organizations & group practices 8

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 5

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": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1366974024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 TREAT BLVD # 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972168",
            "telephone_number": "925-952-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PORTER DR STE 300",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831524",
            "telephone_number": "925-838-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEUNG",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-31",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS020568",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "16852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.