Individual provider Active NPI

Victor Leon Cheang, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1528240926
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A101655 Issued in CA
Practice address
5321 Via Marisol
Los Angeles, CA 90042-4883
Phone
(323) 545-8090
Fax
(323) 344-8829
NPI assigned
Nov 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A101655 CA Primary

Addresses

Primary practice location

5321 Via Marisol
Los Angeles, CA 90042-4883

Mailing address

5321 Via Marisol
Los Angeles, CA 90042-4883
Phone (323) 545-8090

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
I20080612000749 CA Practitioner - PsychiatryPractitioner - Pulmonary Disease 6901977362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Enki Health Services IncGroup PAC ID 8022926559, 25 clinicians

Practice addresses (Care Compare)

160 S 7TH Ave
La Puente, CA 91746-3211
Phone (626) 974-0770

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101655CAMDDentist
A101655CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enki Health Services, Inc. CurrentSince Jan 1, 2008 Accepting new patients
Enki Health Services, Inc. CurrentSince Jan 1, 2008 Accepting new patients

Locations

6001 Clara St
Bell Gardens, CA 90201
Phone (562) 806-5000

150 E Olive Ave
Ste 203
Burbank, CA 91502
Phone (818) 973-4899

1436 Goodrich Blvd
Commerce, CA 90022
Phone (323) 725-1337

160 S 7th Ave
La Puente, CA 91746
Phone (626) 961-8971

Organizations & group practices 2

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": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1528240926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 VIA MARISOL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424883",
            "telephone_number": "323-545-8090",
            "fax_number": "323-344-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 VIA MARISOL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424883",
            "telephone_number": "323-545-8090",
            "fax_number": "323-344-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEANG",
        "first_name": "VICTOR",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A101655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.