Individual provider Active NPI

Kenny Guanyiing Cherng, L.AC.

  • Acupuncturist
  • Redlands, CA
National Provider Identifier
1407973506
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC4514 Issued in CA
Practice address
620 Alabama St
Redlands, CA 92373-8059
Phone
(909) 792-4434
Fax
(909) 628-1085
NPI assigned
Mar 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC4514 CA Primary

Addresses

Primary practice location

620 Alabama St
Redlands, CA 92373-8059

Mailing address

12979 Central Ave
Chino, CA 91710-4122
Phone (909) 628-1955

Other identifiers 1

IdentifierTypeStateIssuer
AC4514OtherCAACUPUNCTUR LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC4514CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
United University of Los Angeles, Inc. Acupuncturist Past Accepting new patients
United University of Los Angeles, Inc. Acupuncturist Past Accepting new patients

Organizations & group practices 2

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407973506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12979 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104122",
            "telephone_number": "909-628-1955",
            "fax_number": "909-628-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 ALABAMA ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738059",
            "telephone_number": "909-792-4434",
            "fax_number": "909-628-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNG",
        "first_name": "KENNY",
        "middle_name": "GUANYIING",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC4514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTUR LICENSE NUMBER",
            "identifier": "AC4514",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.