Active NPI
Ryan Cheng, O.T.R.
- Occupational Therapist
- Garden Grove, CA
National Provider Identifier
1629123500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT3419
- Practice address
- 13341 Garden Grove Blvd
Suite B
Garden Grove, CA 92843-2255 - Phone
- (714) 750-4097
- Fax
- (714) 750-4616
- NPI assigned
- Jan 24, 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT3419 | CA | Primary |
Addresses
Primary practice location
13341 Garden Grove Blvd
Suite B
Garden Grove, CA 92843-2255
Mailing address
2011 Arnold Way
Fullerton, CA 92833-5748
Phone (714) 447-1777
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629123500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 ARNOLD WAY",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928335748",
"telephone_number": "714-447-1777",
"fax_number": "714-758-9555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13341 GARDEN GROVE BLVD",
"address_2": "SUITE B",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928432255",
"telephone_number": "714-750-4097",
"fax_number": "714-750-4616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENG",
"first_name": "RYAN",
"name_prefix": "Mr.",
"credential": "O.T.R.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT3419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, 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.