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DR. JERRY C CHENG M.D.
NPI 1093741175
Pediatrics - Pediatric Hematology-Oncology in Los Angeles, CA

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
4700 W SUNSET BLVD STE 3B, LOS ANGELES, CA 90027(323) 783-7274 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 3, 2021, Mar 17, 2018, Nov 7, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Jerry C Cheng M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERRY C CHENG M.D. (NPI 1093741175) is an individual pediatric hematology-oncology provider in Los Angeles, California, licensed in California (A79990) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of California, San Diego School Of Medicine (2001).

NPPES Registry Identity

NPI1093741175
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameDR. JERRY C CHENGCredential: M.D.
Location Address4700 W SUNSET BLVD STE 3BLos Angeles, CA 90027-6082
Mailing Address2326 Sewanee LnArcadia, CA 91007-5163 · (626) 256-9771
Phone(323) 783-7274
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2001
Enumeration DateJune 23, 2006
Last NPPES UpdateDecember 3, 20214 updates tracked since enumeration
✔ NPI 1093741175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in CA · A79990
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedPediatricsTaxonomy 208000000X · License A79990 (CA)
4700 W SUNSET BLVD STE 3B, Los Angeles, CA 90027
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11500 Duarte RdDuarte, CA 91010-3012 · Phone (626) 256-4673
Location 24700 W Sunset Blvd Ste 3BLos Angeles, CA 90027-6082 · Phone (323) 783-7274

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jerry C Cheng M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294777207
PECOS Enrollment IDI20050531000529
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jerry Cheng reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
0.1 mi
Health Maintenance Organization
4760 W SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1134151657 (323) 783-4011

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Cheng's NPI number?

The NPI number for Jerry Cheng is 1093741175. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Jerry Cheng located?

Jerry Cheng practices at 4700 W Sunset Blvd Ste 3B, Los Angeles, CA 90027. The listed phone number is (323) 783-7274.

What is Jerry Cheng's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Jerry Cheng enrolled in Medicare?

Yes. Jerry Cheng is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jerry Cheng's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Cheng reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jerry Cheng's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jerry Cheng was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.