Individual provider Active NPI

Lichuan Zeng, MD

  • Internal Medicine Physician
  • Alhambra, CA
National Provider Identifier
1376078667
Registry record updated Jan 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A162888 Issued in CA
Practice address
55 S Raymond Ave
Alhambra, CA 91801-7100
Phone
(626) 570-8005
NPI assigned
Apr 25, 2017
Last updated
Jan 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2026

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 A162888 CA Primary

Addresses

Primary practice location

55 S Raymond Ave
Alhambra, CA 91801-7100

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other practice location 1

27235 Tourney Rd Ste 2500
Santa Clarita, CA 91355-5908
Phone (661) 253-5851

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
I20211104001852 CA Practitioner - Internal Medicine 4486042876 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Drexel University College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. John's Community HealthGroup PAC ID 2961482690, 151 clinicians

Practice addresses (Care Compare)

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381

2200 Foothill Blvd
La Canada Flintridge, CA 91011-1413
Phone (818) 790-1103

401 S Fair Oaks Ave
Pasadena, CA 91105-2603
Phone (626) 304-4400

808 W 58TH St
Los Angeles, CA 90037-3632
Phone (323) 541-1400

824 E Carson St
Suite 104
Carson, CA 90745-2262
Phone (310) 830-9706

9810 Las Tunas Dr
Temple City, CA 91780-2208
Phone (626) 309-7600

988 S Fair Oaks Ave
Pasadena, CA 91105-2626
Phone (626) 799-4194

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A162888CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Johns Community Health CurrentSince Sep 26, 2023 Accepting new patients
St. Johns Community Health CurrentSince Sep 26, 2023 Accepting new patients
St. Johns Community Health Current Accepting new patients
Cassidy Medical Group Inc. Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Feb 12, 2024 Accepting new patients
The Regents of the University of California Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince Feb 12, 2024 Accepting new patients
Centers for Family Medicine GP Internal Medicine CurrentSince Jan 17, 2025 Accepting new patients
Beaver Medical Group P C Internal Medicine Current Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine Current Accepting new patients
The Regents of the University of California CurrentSince Aug 1, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Aug 30, 2021 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Aug 30, 2021 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

23595 Moulton Pkwy
Ste E
Laguna Hills, CA 92653
Phone (949) 218-0853

24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252

4910 Airport Plaza Dr
Ste 210
Long Beach, CA 90815
Phone (562) 421-3727

3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599

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

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

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 55737
Los Angeles, CA 90074

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

27235 Tourney Rd
Ste 2500
Valencia, CA 91355
Phone (661) 253-5851

145 Thunder Dr
Vista, CA 92083
Phone (760) 630-5487

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: lzeng1173972@direct.uclahealth.org
  • Direct secure messaging: lzeng206805@westdirect.optum.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768608000000",
    "number": "1376078667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S RAYMOND AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918017100",
            "telephone_number": "626-570-8005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27235 Tourney Rd Ste 2500",
            "address_purpose": "LOCATION",
            "city": "Santa Clarita",
            "state": "CA",
            "postal_code": "913555908",
            "country_code": "US",
            "telephone_number": "661-253-5851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZENG",
        "first_name": "LICHUAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-25",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A162888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4733 W Sunset Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900276021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.