DR. JONATHAN TEH CHEANG MD
NPI 1700083011
Specialist in Modesto, CA

Active since June 29, 2007Opted out of Medicare · through Dec 29, 2026
1011 COFFEE RD, MODESTO, CA 95355(209) 524-1900 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jonathan Teh Cheang Md NPPES

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

DR. JONATHAN TEH CHEANG MD (NPI 1700083011) is an individual specialist in Modesto, California, licensed in California (A78886) and active in the NPI registry since June 2007. He has opted out of Medicare through December 29, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1700083011
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JONATHAN TEH CHEANGCredential: MD
Location Address1011 COFFEE RDModesto, CA 95355-4203
Mailing Address1011 Coffee RdModesto, CA 95355-4203 · (209) 524-1900
Sole ProprietorNo
Enumeration DateJune 29, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1700083011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · A78886
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1011 COFFEE RD, Modesto, CA 95355

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Jonathan Teh Cheang Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 29, 2016 through December 29, 2026.

Opt-Out Effective DateDecember 29, 2016
Opt-Out In Effect ThroughDecember 29, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
1011 COFFEE RD
MODESTO, CA 95355
Clinic/Center (Adult Mental Health)
1011 COFFEE RD
MODESTO, CA 95355

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700083011, enumerated as an "individual" on June 29, 2007.

The provider is located at 1011 COFFEE RD MODESTO, CA 95355 and the phone number is (209) 524-1900.

Specialist with taxonomy code 174400000X.