Individual provider Active NPI

Vickie Cheng, PA-C

  • Physician Assistant
  • Burbank, CA
National Provider Identifier
1548715170
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
53530 Issued in CA
Practice address
191 S Buena Vista St Ste 475
Burbank, CA 91505-4541
Phone
(818) 842-8000
NPI assigned
Aug 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 53530 CA Primary

Addresses

Primary practice location

191 S Buena Vista St Ste 475
Burbank, CA 91505-4541

Mailing address

191 S Buena Vista St Ste 475
Burbank, CA 91505-4541

Other practice location 1

420 E 3rd St Ste 805
Los Angeles, CA 90013-3005
Phone (213) 687-3214

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200122001405 CA Practitioner - Physician Assistant 8820423833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Robert West MD IncGroup PAC ID 8729990973, 141 clinicians

Practice addresses (Care Compare)

23550 Hawthorne Blvd
Suite 200
Torrance, CA 90505-4722
Phone (310) 373-2636

400 Newport Ctr Dr
Suite 702
Newport Beach, CA 92660-7669
Phone (949) 644-0101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.17 of 100Reported as group
Quality
74.51
Promoting interoperability
92
Improvement activities
40
Cost
82.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
J Robert West, M.D., Inc CurrentSince Sep 15, 2022 Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

400 Newport Center Dr
Ste 702
Newport Beach, CA 92660
Phone (949) 644-0101

23550 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 373-2636

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1548715170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 S BUENA VISTA ST STE 475",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 S BUENA VISTA ST STE 475",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054541",
            "telephone_number": "818-842-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 E 3rd St Ste 805",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900133005",
            "country_code": "US",
            "telephone_number": "213-687-3214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENG",
        "first_name": "VICKIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.