Individual provider Active NPI

Ryan Cheng

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1740684133
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95001440 Issued in CA
Practice address
9550 S Eastern Ave Ste 253
Las Vegas, NV 89123-8042
Phone
(888) 803-3370
NPI assigned
Oct 14, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 846988 NV
Family Nurse Practitioner 363LF0000X 95001440 CA Primary

Addresses

Primary practice location

9550 S Eastern Ave Ste 253
Las Vegas, NV 89123-8042

Mailing address

7503 W Mistral Ave
Las Vegas, NV 89113-4707

Other practice location 1

333 1st St # 3
San Francisco, CA 94105-2687
Phone (888) 803-3370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150126002011 CA Practitioner - Nurse Practitioner 3779807508 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
846988NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Medical Care of California CurrentSince Aug 19, 2024 Accepting new patients

Locations

415 N Crescent Dr
Ste 320
Beverly Hills, CA 90210
Phone (415) 510-2755

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

9550 S Eastern Ave
Ste 253
Las Vegas, NV 89123
Phone (702) 381-0980

Interoperability endpoints

  • Direct secure messaging: ryan.cheng@398008301912068.direct.elationemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1740684133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7503 W MISTRAL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 S EASTERN AVE STE 253",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891238042",
            "telephone_number": "888-803-3370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 1st St # 3",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941052687",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENG",
        "first_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-14",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "846988",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.