Organization Active NPI

Kam Y Cheung MD a Professional Corp

  • Internal Medicine Physician
  • Oakland, CA
National Provider Identifier
1417279639
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A49444 Issued in CA
Legal business name
KAM Y CHEUNG MD A PROFESSIONAL CORP
Practice address
638 Webster St Ste 328
Oakland, CA 94607-4126
Phone
(510) 268-9888
Fax
(510) 268-9892
NPI assigned
Feb 16, 2010
Last updated
Feb 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Authorized official

Name
Kam Yuen Cheung, M.D.NPI 1689741290
Title
President
Phone
(510) 268-9888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A49444 CA Primary

Addresses

Primary practice location

638 Webster St Ste 328
Oakland, CA 94607-4126

Mailing address

638 Webster St Ste 328
Oakland, CA 94607-4126
Phone (510) 268-9888

Other identifiers 1

IdentifierTypeStateIssuer
00A494441MedicaidCA

National Provider Directory

National Provider Directory

Locations

638 Webster St
Ste 328
Oakland, CA 94607
Phone (510) 268-9888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1417279639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 WEBSTER ST STE 328",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074126",
            "telephone_number": "510-268-9888",
            "fax_number": "510-268-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 WEBSTER ST STE 328",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074126",
            "telephone_number": "510-268-9888",
            "fax_number": "510-268-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAM Y CHEUNG MD A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "CHEUNG",
        "authorized_official_first_name": "KAM",
        "authorized_official_middle_name": "YUEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-268-9888",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A49444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A494441",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.