NPIMap

Individual provider Active NPI

Simon Cheung, M.D.

  • Cardiovascular Disease Physician
  • Fountain Valley, CA
National Provider Identifier
1841370210
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G87151 Issued in CA
Practice address
11100 Warner Ave Ste 310
Fountain Valley, CA 92708-4009
Phone
(714) 424-0109
Fax
(714) 424-0119
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G87151 CA Primary

Addresses

Primary practice location

11100 Warner Ave Ste 310
Fountain Valley, CA 92708-4009

Mailing address

11100 Warner Ave Ste 310
Fountain Valley, CA 92708-4009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040804000997 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2062482649 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Loma Linda University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Heart Centers a Medical CorporationGroup PAC ID 7012944473, 16 clinicians

Practice addresses (Care Compare)

11100 Warner Ave
Suite 310
Fountain Valley, CA 92708-4009

17220 Newhope St
Suite 125 126
Fountain Valley, CA 92708-4272
Phone (714) 424-0109

506 W Valley Blvd
San Gabriel, CA 91776-5716
Phone (626) 308-3800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
87151CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Simon Cheung, a Professional Corp Cardiovascular Disease CurrentSince Apr 19, 2004 Accepting new patients
Southern California Heart Centers a Medical Corporation Cardiovascular Disease CurrentSince Feb 12, 2013 Accepting new patients
Newark Beth Israel Medical Center Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients
Pacific DX Idtf Past Accepting new patients
South Coast Global Medical Center, Inc Past Accepting new patients
Pacific Diagnostics Past Accepting new patients
Ahmc Greater El Monte Comm Hosp LLC Past Accepting new patients
Newark Beth Israel Medical Center Inc Past Accepting new patients

Locations

11100 Warner Ave
Ste 310
Fountain Vly, CA 92708
Phone (714) 824-6560

17220 Newhope St
Ste 125126
Fountain Vly, CA 92708
Phone (714) 424-0109

506 W Valley Blvd
Ste 100
San Gabriel, CA 91776
Phone (626) 308-3800

415 W Valley Blvd
Ste D
San Gabriel, CA 91776
Phone (626) 308-3800

506 W Valley Blvd
San Gabriel, CA 91776
Phone (626) 308-3800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: simon.cheung@697388111167492.direct.elationemr.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1841370210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE STE 310",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE STE 310",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084009",
            "telephone_number": "714-424-0109",
            "fax_number": "714-424-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEUNG",
        "first_name": "SIMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G87151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.