NPIMap

Organization Active NPI

Sang Medical Corp

  • Pediatrics Physician
  • Fresno, CA
National Provider Identifier
1003251687
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A93522 Issued in CA
Legal business name
SANG MEDICAL CORP
Practice address
1122 S St
Fresno, CA 93721-1430
Phone
(559) 268-1737
Fax
(559) 268-1738
NPI assigned
May 8, 2013
Last updated
Jul 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Authorized official

Name
Dr. New Sang, M.D.NPI 1154340586
Title
Owner
Phone
(559) 268-1737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A93522 CA Primary

Addresses

Primary practice location

1122 S St
Fresno, CA 93721-1430

Mailing address

1122 S St
Suite 102
Fresno, CA 93721-1430
Phone (559) 268-1737

Other identifiers 2

IdentifierTypeStateIssuer
1154340586MedicaidCA
1578669511MedicaidCA

National Provider Directory

National Provider Directory

Locations

1122 S St
Ste 102
Fresno, CA 93721
Phone (559) 268-1737

5240 N Palm Ave
Ste 103
Fresno, CA 93704
Phone (559) 268-1737

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1003251687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 S ST",
            "address_2": "SUITE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211430",
            "telephone_number": "559-268-1737",
            "fax_number": "559-268-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 S ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211430",
            "telephone_number": "559-268-1737",
            "fax_number": "559-268-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANG MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "SANG",
        "authorized_official_first_name": "NEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-268-1737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A93522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154340586",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578669511",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.