Active NPI
Paul Cheng-Te Niu, M.D.
- Nephrology Physician
- Corona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A46376
- Practice address
- 2057 Compton Ave
Suite 102
Corona, CA 92881-7287 - Phone
- (951) 736-6757
- Fax
- (951) 736-0167
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | A46376 | CA | Primary |
Addresses
Primary practice location
2057 Compton Ave
Suite 102
Corona, CA 92881-7287
Mailing address
PO Box 54130
Los Angeles, CA 90054-0130
Phone (951) 687-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A463760 | Medicaid | CA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2057 Compton Ave
Suite 102
Corona, CA 92881-7295
Phone (951) 736-6757
Hospital & facility affiliations
- DaVita Corona Dialysis Center
- DaVita Riverside Mission Home Training
- Corona Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46376 | CA | MD | Mental Health Counselor |
| A46376 | CA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates Medical Group Inc | Nephrology | Current | Accepting new patients |
| Nephrology Associates Medical Group, Inc. | Past | Accepting new patients | |
| Namg Home Dialysis LLC | Past | Accepting new patients | |
| Primecare Medical Group | Past | Accepting new patients |
Locations
2057 Compton Ave
Ste 102
Corona, CA 92881
Phone (951) 736-6757
12523 Limonite Ave
Ste 400
Eastvale, CA 91752
Phone (951) 398-6868
425 Diamond Dr
Ste 102
Lake Elsinore, CA 92530
Phone (951) 471-5711
1901 Town and Country Dr
Ste 102
Norco, CA 92860
Phone (951) 736-8100
3660 Park Sierra Dr
Ste 203
Riverside, CA 92505
Phone (951) 687-3400
3660 Park Sierra Dr
Ste 208
Riverside, CA 92505
Phone (951) 687-2800
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- paul.niu.1@19859.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Nephrology Physician
- Riverside, CA
- NPI 1447200126
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Riverside, CA
- NPI 1013119064
-
- Specialist
- Riverside, CA
- NPI 1093264145
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1093720427
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Corona, CA
- NPI 1922069384
Dialysis facility
-
- General Acute Care Hospital
- Corona, CA
- NPI 1457347239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357257600000",
"number": "1952336216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 54130",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900540130",
"telephone_number": "951-687-3400",
"fax_number": "951-687-7630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2057 COMPTON AVE",
"address_2": "SUITE 102",
"city": "CORONA",
"state": "CA",
"postal_code": "928817287",
"telephone_number": "951-736-6757",
"fax_number": "951-736-0167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIU",
"first_name": "PAUL",
"middle_name": "CHENG-TE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2013-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A46376",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A463760",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.