Active NPI
Chester Kim Cheng, M.D.
- Plastic and Reconstructive Surgery Physician
- Danville, CA
National Provider Identifier
1497892640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- A62864
- Practice address
- 4165 Blackhawk Plaza Cir
Suite 150
Danville, CA 94506-4904 - Phone
- (925) 736-0401
- Fax
- (925) 736-5609
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | A62864 | CA | Primary |
Addresses
Primary practice location
4165 Blackhawk Plaza Cir
Suite 150
Danville, CA 94506-4904
Mailing address
PO Box 888
Diablo, CA 94528-0888
Phone (925) 819-0418
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A62864 | CA | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497892640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 888",
"city": "DIABLO",
"state": "CA",
"postal_code": "945280888",
"telephone_number": "925-819-0418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4165 BLACKHAWK PLAZA CIR",
"address_2": "SUITE 150",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945064904",
"telephone_number": "925-736-0401",
"fax_number": "925-736-5609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENG",
"first_name": "CHESTER",
"middle_name": "KIM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CA",
"license": "A62864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danville, 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.