Clement Jackson Cheng, MD

Key facts

NPI

1629065826

Entity type

Individual (NPI type 1)

Primary specialty

Ophthalmology Physician 207W00000X

License

A89628 (CA)

Practice address

300 Pasteur Dr
Stanford, CA 94305-2200

Phone

(650) 723-4000

NPI assigned

Oct 3, 2005

Sex

Male

Sole proprietor

Yes

Organizations & group practices 4

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.

• Bay Eye Medical Group Inc Medical Specialty Clinic/Center · Watsonville, CA · NPI 1447439583
  Medicare reassignment Care Compare group NPD CA
• Bay Eye Medical Group Inc Medical Specialty Clinic/Center · Santa Cruz, CA · NPI 1801899646
  Medicare reassignment Care Compare group NPD CA · OPHTHALMOLOGY
• Dignity Health General Acute Care Hospital · Santa Cruz, CA · NPI 1427181007
  NPD (past) OPHTHALMOLOGY
• Stanford Hospital and Clinics Clinical Medical Laboratory · Palo Alto, CA · NPI 1174698468
  NPD (past)

Medicare Care Compare profile

Specialty

Ophthalmology

Education

Northwestern University Feinberg Medical School, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Bay Eye Medical Group Inc (6 clinicians)

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.96 of 100 (group)

Quality

100

Improvement activities

40

Cost

77.87

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 4, 2024.

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1629065826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 DOMINICAN WAY",
            "address_2": "SUITE 124",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651528",
            "telephone_number": "831-475-7012",
            "fax_number": "831-475-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1665 Dominican Way",
            "address_2": "Suite 124",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950651528",
            "country_code": "US",
            "telephone_number": "831-475-7012",
            "fax_number": "831-475-1512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENG",
        "first_name": "CLEMENT",
        "middle_name": "JACKSON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "CA",
            "license": "A89628",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A89628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

• Tony Chen, M.D.
• Zheng Chen, O.D.
• Ada Jean Cheng, PA-C
• Annie Yichien Cheng, NP
• Cheng Cheng, MD
• Evaline Cheng, MD
• Judy Mary Cheng, MD
• Nicole Hsieh Cheng, PA-C
• Paul PO-Sheng Cheng, M.D. PH.D.
• Sarah Cheng, MD

All providers in Stanford, CA · Ophthalmology Physician in California