Active NPI
Simon Cheung, a Professional Corp
- Cardiovascular Disease Physician
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G87151
- Legal business name
- SIMON CHEUNG, A PROFESSIONAL CORP
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Simon Cheung, M.D.
- Title
- President
- Phone
- (714) 424-0109
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Phone (714) 424-0109
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G871510 | Other | CA | BLUE SHIELD |
| 00G871511 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
17220 Newhope St
Ste 1251
Fountain Valley, CA 92708
11180 Warner Ave
Ste 363
Fountain Valley, CA 92708
Phone (714) 327-1625
11100 Warner Ave
Ste 310
Fountain Vly, CA 92708
Phone (714) 824-6560
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Fountain Valley, CA
- NPI 1841370210
-
- Anesthesiology Physician
- Anaheim, CA
- NPI 1609930866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287014400000",
"number": "1891875258",
"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",
"telephone_number": "714-424-0109",
"fax_number": "714-424-0119"
},
{
"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": {
"organization_name": "SIMON CHEUNG, A PROFESSIONAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2010-10-14",
"status": "A",
"authorized_official_last_name": "CHEUNG",
"authorized_official_first_name": "SIMON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-424-0109",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G87151",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G871510",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G871511",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.