Individual provider Active NPI

Yasmine Cheang, RDN

  • Registered Dietitian
  • Glendale, AZ
National Provider Identifier
1992419352
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
20325 N 51St Ave
BLDG 4, Suite 126
Glendale, AZ 85308
Phone
(602) 341-5248
Fax
(602) 702-5219
NPI assigned
Jan 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

20325 N 51St Ave
BLDG 4, Suite 126
Glendale, AZ 85308

Mailing address

20325 N 51St Ave
BLDG 4, Suite 126
Glendale, AZ 85308
Phone (602) 341-5248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240206002280 HI Practitioner - Registered Dietitian Or Nutrition Professional 6305219080 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Physician Enterprise LLCGroup PAC ID 0244661338, 12 clinicians

Practice addresses (Care Compare)

91 -6390 Kapolei Pkwy
Suite 200
Ewa Beach, HI 96706-6380
Phone (808) 691-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Queens University Medical Group CurrentSince Aug 29, 2024 Accepting new patients
Primary Care Physician Enterprise LLC CurrentSince Dec 26, 2023 Accepting new patients
The Queens Medical Center CurrentSince Dec 26, 2023 Accepting new patients
The Queens Medical Center CurrentSince Dec 26, 2023 Accepting new patients
The Queen'S Medical Center Current Accepting new patients
The Queens Medical Center - Progressive Care Unit Past Accepting new patients

Locations

91-6390 Kapolei Pkwy
Ste 200
Ewa Beach, HI 96706
Phone (612) 802-2986

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

1329 Lusitana St
Ste B5
Honolulu, HI 96813
Phone (808) 691-4823

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1215 Hunakai St
Honolulu, HI 96816
Phone (808) 686-4200

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1992419352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20325 N 51ST AVE",
            "address_2": "BLDG 4, SUITE 126",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "602-341-5248",
            "fax_number": "602-702-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20325 N 51ST AVE",
            "address_2": "BLDG 4, SUITE 126",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "602-341-5248",
            "fax_number": "602-702-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEANG",
        "first_name": "YASMINE",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.