NPIMap

Individual provider Active NPI

Jennifer W. Cheng, D.O.

  • Infectious Disease Physician
  • Walnut Creek, CA
National Provider Identifier
1669791612
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
20A14512 Issued in CA
Practice address
365 Lennon LN
Suite 200
Walnut Creek, CA 94598-5915
Phone
(925) 947-2334
NPI assigned
May 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 20A14512 CA Primary

Addresses

Primary practice location

365 Lennon LN
Suite 200
Walnut Creek, CA 94598-5915

Mailing address

365 Lennon LN
Ste 250
Walnut Creek, CA 94598-5915
Phone (925) 948-8143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160921001609 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 5294046991 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Philadelphia College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

365 Lennon LN
Suite 200
Walnut Creek, CA 94598-5912
Phone (925) 947-2334

Hospital & facility affiliations

  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180
  • John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496
  • Sutter Solano Medical Center Hospital, Vallejo, CA, CCN 050101
  • Sutter Delta Medical Center Hospital, Antioch, CA, CCN 050523

Merit-based Incentive Payment System (MIPS)

Final score
91.74 of 100Reported as individual
Quality
67.56
Promoting interoperability
100
Improvement activities
40
Cost
71.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A14512CAMDInfectious Disease Physician
14512CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Bass Medical Group Current Accepting new patients
John Muir Trauma Physicians Billing Service Infectious Disease CurrentSince Dec 4, 2016 Accepting new patients
Bass Medical Group CurrentSince Nov 1, 2016 Accepting new patients
Bass Medical Group CurrentSince Nov 1, 2016 Accepting new patients
Bass Medical Group Past Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

365 Lennon Ln
Ste 200
Walnut Creek, CA 94598
Phone (925) 947-2334

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jcheng70832@ehr.johnmuirhealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBDGCA

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1669791612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 LENNON LN",
            "address_2": "STE 250",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985915",
            "telephone_number": "925-948-8143",
            "fax_number": "925-215-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 LENNON LN",
            "address_2": "SUITE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985915",
            "telephone_number": "925-947-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "JENNIFER",
        "middle_name": "W.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "20A14512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.