Healthcare Provider Details

I. General information

NPI: 1003241118
Provider Name (Legal Business Name): YU CHENG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2013
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 ORCHARD PKWY STE 102
TRACY CA
95377-7346
US

IV. Provider business mailing address

PO BOX 255228
SACRAMENTO CA
95865-5228
US

V. Phone/Fax

Practice location:
  • Phone: 209-830-4060
  • Fax: 209-830-4077
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberA138360
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: