Individual provider Active NPI

Amy S Cheung, N. P.

  • Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1790919389
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
18220 Issued in CA
Practice address
4001 J St
Sacramento, CA 95819-3600
Phone
(916) 453-4768
Fax
(916) 733-6977
NPI assigned
May 11, 2009
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 18220 CA Primary

Addresses

Primary practice location

4001 J St
Sacramento, CA 95819-3600

Mailing address

4001 J St
Sacramento, CA 95819-3600
Phone (916) 453-4768

Other practice location 1

145 Vista Ave
Suite #101
Pasadena, CA 91107-3607
Phone (626) 793-2885 ext. 520

Other practice location 2

3939 J St Ste 104
Sacramento, CA 95819-3631
Phone (916) 453-4768

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
I20120718000317 CA Practitioner - Nurse Practitioner 0244496370 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute CurrentSince Dec 1, 2015 Accepting new patients
Providence Medical Institute Current Accepting new patients
Providence Medical Institute CurrentSince Dec 1, 2015 Accepting new patients

Locations

201 S Buena Vista St
Ste 100
Burbank, CA 91505
Phone (818) 848-6404

21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1790919389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 J ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193600",
            "telephone_number": "916-453-4768",
            "fax_number": "916-733-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 J ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193600",
            "telephone_number": "916-453-4768",
            "fax_number": "916-733-6977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Vista Ave",
            "address_2": "Suite #101",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911073607",
            "country_code": "US",
            "telephone_number": "626-793-2885 x520",
            "fax_number": "626-793-6262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3939 J St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958193631",
            "country_code": "US",
            "telephone_number": "916-453-4768",
            "fax_number": "916-733-6977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEUNG",
        "first_name": "AMY",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "N. P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-11",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "18220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.