Active NPI
Charng Fa Chong, M.D.
- Hematology & Oncology Physician
- Anaheim, CA
National Provider Identifier
1922036052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- A36211
- Practice address
- 1801 W Romneya Dr
Suite 501
Anaheim, CA 92801-1830 - Phone
- (714) 778-0454
- Fax
- (714) 991-6103
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | A36211 | CA | Primary |
Addresses
Primary practice location
1801 W Romneya Dr
Suite 501
Anaheim, CA 92801-1830
Mailing address
1801 W Romneya Dr
Ste 501
Anaheim, CA 92801-1830
Phone (714) 778-0454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A362110 | Medicaid | CA |
Other names 1
- Dr. Charles F Chong
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040220000684 | CA | Practitioner - Internal Medicine | 7012802614 | Practice locations: Anaheim, CA; Rosemead, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36211 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timothy Guan-Tyng Yeh M D Inc | Past | Accepting new patients | |
| Ahmc Greater El Monte Comm Hosp LLC | Past | Accepting new patients | |
| St Jude Hospital Inc | Past | Accepting new patients | |
| Anaheim Memorial Medical Center | Past | Accepting new patients | |
| Queen of the Valley Medical Association | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 5
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.
-
- Community/Retail Pharmacy
- South El Monte, CA
- NPI 1922115526
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1295782381
-
- Gynecology Physician
- Napa, CA
- NPI 1649260126
-
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
- Clinical Cardiac Electrophysiology Physician
- Anaheim, CA
- NPI 1295036721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1922036052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 W ROMNEYA DR",
"address_2": "STE 501",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011830",
"telephone_number": "714-778-0454",
"fax_number": "714-991-6103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 W ROMNEYA DR",
"address_2": "SUITE 501",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011830",
"telephone_number": "714-778-0454",
"fax_number": "714-991-6103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHONG",
"first_name": "CHARNG",
"middle_name": "FA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "A36211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A362110",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHARLES",
"last_name": "CHONG",
"middle_name": "F",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.