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JIM CHENG
NPI 1790122638
Physician Assistant - Medical in Hacienda Heights, CA

Active since June 02, 2013PECOS Enrolled
16420 CANBERRA CT, HACIENDA HEIGHTS, CA 91745(000) 000-0000 Get Directions Write a Review

NPPES record last updated: November 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2025, May 27, 2025, Jun 6, 2023 and 1 more (4 updates tracked since 2015).

About Jim Cheng NPPES

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

JIM CHENG (NPI 1790122638) is an individual medical provider in Hacienda Heights, California, licensed in California (PA22852) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790122638
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJIM CHENG
Location Address16420 CANBERRA CTHacienda Heights, CA 91745-5538
Mailing Address16420 Canberra CtHacienda Heights, CA 91745-5538
Phone(000) 000-0000
Sole ProprietorNo
Enumeration DateJune 2, 2013
Last NPPES UpdateNovember 2, 20254 updates tracked since enumeration
NPPES CertifiedNovember 2, 2025
✔ NPI 1790122638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA22852
16420 CANBERRA CT, Hacienda Heights, CA 91745
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jim Cheng is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Jim Cheng's NPI number?

The NPI number for Jim Cheng is 1790122638. It was assigned to this individual provider in the NPPES registry on June 2, 2013.

Where is Jim Cheng located?

Jim Cheng practices at 16420 Canberra Ct, Hacienda Heights, CA 91745. The listed phone number is (000) 000-0000.

What is Jim Cheng's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jim Cheng enrolled in Medicare?

Yes. Jim Cheng is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jim Cheng was last updated on November 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.