Individual provider Active NPI

Ernest Yadao Cheng, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Berkeley, CA
National Provider Identifier
1457558595
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
20A9544 Issued in CA
Practice address
3031 Telegraph Ave.
Ste. 241
Berkeley, CA 94705
Phone
(510) 549-2038
Fax
(510) 549-2690
NPI assigned
Jul 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 20A9544 CA Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 20A9544 CA
Interventional Pain Medicine Physician 208VP0014X 20A9544 CA
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 20A9544 CA

Addresses

Primary practice location

3031 Telegraph Ave.
Ste. 241
Berkeley, CA 94705

Mailing address

3031 Telegraph Ave.
Ste. 241
Berkeley, CA 94705
Phone (510) 549-2038

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
I20071214000670 CA Practitioner - Interventional Pain ManagementPractitioner - Osteopathic Manipulative MedicinePractitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 8820188709 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A9544CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician
9544CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas J Abeles, MD, Inc. CurrentSince Sep 23, 2014 Accepting new patients
Vernon Family Chiropractic Inc. PastSince Nov 1, 2012 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

21030 Redwood Rd
Castro Valley, CA 94546
Phone (510) 538-0430

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1457558595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 TELEGRAPH AVE.",
            "address_2": "STE. 241",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94705",
            "telephone_number": "510-549-2038",
            "fax_number": "510-549-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 TELEGRAPH AVE.",
            "address_2": "STE. 241",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94705",
            "telephone_number": "510-549-2038",
            "fax_number": "510-549-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "ERNEST",
        "middle_name": "YADAO",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A9544",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "20A9544",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "20A9544",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "20A9544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.