NPIMap

Individual provider Active NPI

Susan J Cheng, MD

  • Family Medicine Physician
  • Thousand Oaks, CA
National Provider Identifier
1427439124
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A157822 Issued in CA
Practice address
2230 Lynn Rd Ste 200
Thousand Oaks, CA 91360-1900
Phone
(805) 495-1066
NPI assigned
Jun 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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 11018080A IN
Family Medicine Physician 207Q00000X A157822 CA Primary

Addresses

Primary practice location

2230 Lynn Rd Ste 200
Thousand Oaks, CA 91360-1900

Mailing address

4273 Flintlock LN
Westlake Village, CA 91361-4604
Phone (626) 688-0614

Other practice location 1

714 N Michigan St
South Bend, IN 46601-1035
Phone (574) 647-7913

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
I20191024001421 CA Practitioner - Family Practice 2062725286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arroyo Oaks Medical Associates IncGroup PAC ID 7416922141, 11 clinicians

Practice addresses (Care Compare)

2230 Lynn Rd
Suite 200
Thousand Oaks, CA 91360-1900
Phone 80549510665000

Hospital & facility affiliations

  • Access TLC Home Health Care Home health agency, San Fernando, CA, CCN 058366
  • Assisted Home Care Home health agency, Mission Hills, CA, CCN 557089
  • Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549
  • Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A157822CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arroyo Oaks Laboratory Current Accepting new patients
Arroyo Oaks Medical Group Current Accepting new patients

Locations

2230 Lynn Rd
Ste 200
Thousand Oaks, CA 91360
Phone (805) 495-1066

Organizations & group practices 3

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 6

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": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1427439124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4273 FLINTLOCK LN",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614604",
            "telephone_number": "626-688-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 LYNN RD STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601900",
            "telephone_number": "805-495-1066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 N Michigan St",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466011035",
            "country_code": "US",
            "telephone_number": "574-647-7913",
            "fax_number": "574-647-6819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENG",
        "first_name": "SUSAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "11018080A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A157822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.