NPIMap

Individual provider Active NPI

Marc Bunjiun Cheng, M.D.

  • Interventional Pain Medicine Physician
  • Chino, CA
National Provider Identifier
1417018342
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A85749 Issued in CA
Practice address
13768 Roswell Ave Ste 218
Chino, CA 91710-1407
Phone
(909) 732-9781
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A85749 CA
Interventional Pain Medicine Physician 208VP0014X A85749 CA Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X A85749 CA

Addresses

Primary practice location

13768 Roswell Ave Ste 218
Chino, CA 91710-1407

Mailing address

382 N Lemon Ave # 180
Walnut, CA 91789-2344
Phone (909) 816-4428

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
I20071023000659 CA Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 1759477607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
University of California, Geffen School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Pain Management Inc.Group PAC ID 6204922388, 3 clinicians

Practice addresses (Care Compare)

2010 E 1St St
Suite 100
Santa Ana, CA 92705-4079
Phone (714) 556-7246

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
92.09 of 100Reported as group
Quality
90
Promoting interoperability
97
Improvement activities
40
Cost
74.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85749CAMDCommunity Health Registered Nurse
A85749CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Street Surgery Center Inc. Current Accepting new patients
Elite Pain Management Inc. Interventional Pain Medicine CurrentSince Mar 1, 2008 Accepting new patients
St. Joseph Hospital Past Accepting new patients
Pih Health Whittier Hospital Interventional Pain Medicine Past Accepting new patients
Orange Coast Memorial Medical Center Interventional Pain Medicine Past Accepting new patients
St Joseph Hospital of Orange Interventional Pain Medicine Past Accepting new patients
St Jude Hospital Inc Interventional Pain Medicine Past Accepting new patients
Inland Valley Anesthesia Medical Group Anesthesiology Past Accepting new patients
Orange County Global Medical Center, Inc Interventional Pain Medicine Past Accepting new patients

Locations

901 Dover Dr
Ste 126
Newport Beach, CA 92660
Phone (949) 873-5089

2010 E 1st St
Ste 100
Santa Ana, CA 92705
Phone (714) 556-7246

3620 S Bristol St
Ste 205
Santa Ana, CA 92704
Phone (714) 556-7246

382 N Lemon Ave
Walnut, CA 91789
Phone (909) 262-3484

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mcheng@78.securemail.prognocis.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1417018342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 N LEMON AVE # 180",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892344",
            "telephone_number": "909-816-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE STE 218",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101407",
            "telephone_number": "909-732-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "MARC",
        "middle_name": "BUNJIUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A85749",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A85749",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A85749",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.