Organization Active NPI

Cheng M D Inc

  • Health Service Clinic/Center
  • Pasadena, CA
National Provider Identifier
1730826694
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
CHENG M D INC
Practice address
10 Congress St Ste 400
Pasadena, CA 91105-3020
Phone
(626) 449-6223
NPI assigned
May 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Dr. Connie Yu Heng Cheng, MDNPI 1437504792
Title
Physician
Phone
(626) 384-8125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Community Health Clinic/Center 261QC1500X
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

10 Congress St Ste 400
Pasadena, CA 91105-3020

Mailing address

3035 E Charlinda St
West Covina, CA 91791-2905
Phone (626) 384-8125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220902001845 CA Part B Supplier - Clinic/Group Practice 7810371200 Receives reassigned benefits from 1 practitioner
Practice locations: Pasadena, CA

National Provider Directory

National Provider Directory

Locations

10 Congress St
Ste 400
Pasadena, CA 91105
Phone (626) 449-6223

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1730826694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 E CHARLINDA ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917912905",
            "telephone_number": "626-384-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CONGRESS ST STE 400",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053020",
            "telephone_number": "626-449-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHENG M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "YU HENG",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "626-384-8125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.