Etta Cheng, CRNA

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

I292977 Issued in CA

Practice address

17380 Green Pine Way
Yorba Linda, CA 92886-5173

Phone

(714) 524-5550

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841349529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17380 GREEN PINE WAY",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928865173",
            "telephone_number": "714-524-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17380 GREEN PINE WAY",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928865173",
            "telephone_number": "714-524-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "ETTA",
        "name_prefix": "Miss",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "I292977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Chapman, M.D.
• Charles Bittel III, O.D., Inc.
• Charles F. Bittel, O.D., Inc.
• Andria Sue Chatfield, PH.D.
• Racquel Santos Chavez, OTR/L, CPAM, CKTP
• Yayuan Cheng, D.C., L.AC.
• Stephanie Cheung, O.D.
• Peter Chien, D.D.S.
• Chienho Chen Dental Group, a Professional Corporation
• Lawrence Anthony Chiu, M.D.

• Registered Nurse in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.