Active NPI
Cheryl Chong, D.O.
- Family Medicine Physician
- Saint Helena, CA
National Provider Identifier
1629368774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A14403
- Practice address
- 821 Saint Helena Hwy S
Suite 2
Saint Helena, CA 94574-2266 - Phone
- (707) 967-7551
- NPI assigned
- Apr 11, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A14403 | CA | Primary |
Addresses
Primary practice location
821 Saint Helena Hwy S
Suite 2
Saint Helena, CA 94574-2266
Mailing address
821 Saint Helena Hwy S
Suite 2
Saint Helena, CA 94574-2266
Phone (707) 967-7551
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A14403 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Heart Institute-Ukiah | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Ukiah, CA
- NPI 1417295643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464048000000",
"number": "1629368774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 SAINT HELENA HWY S",
"address_2": "SUITE 2",
"city": "SAINT HELENA",
"state": "CA",
"postal_code": "945742266",
"telephone_number": "707-967-7551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 SAINT HELENA HWY S",
"address_2": "SUITE 2",
"city": "SAINT HELENA",
"state": "CA",
"postal_code": "945742266",
"telephone_number": "707-967-7551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHONG",
"first_name": "CHERYL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-11",
"last_updated": "2016-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A14403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Helena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.