Active NPI
Cheung Sing Wan, MD
- Ophthalmology Physician
- Barstow, CA
National Provider Identifier
1962500223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A34199
- Practice address
- 121 South 7TH Ave
Suite B
Barstow, CA 92311 - Phone
- (760) 256-8791
- Fax
- (760) 256-8710
- NPI assigned
- Sep 20, 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A34199 | CA | Primary |
Addresses
Primary practice location
121 South 7TH Ave
Suite B
Barstow, CA 92311
Mailing address
121 South 7TH Ave
Suite B
Barstow, CA 92311
Phone (760) 256-8791
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A00341990 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A34199 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corwin Medical Group Inc Ipa | Past | Accepting new patients | |
| Pacific Eye Institute a Medical Group Inc | Past | Accepting new patients | |
| Choice Physicians Network, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Exclusive Provider Organization
- Apple Valley, CA
- NPI 1639401987
-
- Exclusive Provider Organization
- Apple Valley, CA
- NPI 1821018433
-
- Ambulatory Surgical Clinic/Center
- Upland, CA
- NPI 1407932619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1962500223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 SOUTH 7TH AVE",
"address_2": "SUITE B",
"city": "BARSTOW",
"state": "CA",
"postal_code": "92311",
"telephone_number": "760-256-8791",
"fax_number": "760-256-8710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 SOUTH 7TH AVE",
"address_2": "SUITE B",
"city": "BARSTOW",
"state": "CA",
"postal_code": "92311",
"telephone_number": "760-256-8791",
"fax_number": "760-256-8710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAN",
"first_name": "CHEUNG",
"middle_name": "SING",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A34199",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A00341990",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Barstow, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.