Organization Active NPI

Teng Medical Foundation PC

  • Family Medicine Physician
  • Lincoln, CA
National Provider Identifier
1760904593
Registry record updated Jul 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TENG MEDICAL FOUNDATION PC
Practice address
831 Sterling Pkwy Ste 110
Lincoln, CA 95648-7323
Phone
(916) 253-9898
NPI assigned
Jul 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2017

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

Authorized official

Name
Chunwen Teng, DONPI 1912259946
Title
Owner
Phone
(916) 253-9898

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

831 Sterling Pkwy Ste 110
Lincoln, CA 95648-7323

Mailing address

PO Box 434
Lewiston, ID 83501-0434
Phone (916) 253-9898

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171016002483 CA Part B Supplier - Clinic/Group Practice 7113293341 Receives reassigned benefits from 3 practitioners
Practice locations: Lincoln, CA

National Provider Directory

National Provider Directory

Locations

871 Sterling Pkwy
Lincoln, CA 95648

871 Sterling Pkwy
Ste 100
Lincoln, CA 95648
Phone (916) 253-9898

Practitioners & affiliated clinicians

Practitioners 3

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": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499904000000",
    "number": "1760904593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 434",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835010434",
            "telephone_number": "916-253-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 STERLING PKWY STE 110",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956487323",
            "telephone_number": "916-253-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENG MEDICAL FOUNDATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-13",
        "status": "A",
        "authorized_official_last_name": "TENG",
        "authorized_official_first_name": "CHUNWEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-253-9898",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; 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.