Active NPI
George Oscar Ting, MD
- Nephrology Physician
- Mountain View, CA
National Provider Identifier
1104803097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- G29368
- Practice address
- 515 South Dr
Ste 12
Mountain View, CA 94040 - Phone
- (650) 988-7944
- Fax
- (650) 964-3608
- NPI assigned
- Dec 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | G29368 | CA | Primary |
Addresses
Primary practice location
515 South Dr
Ste 12
Mountain View, CA 94040
Mailing address
515 South Dr
Ste 12
Mountain View, CA 94040
Phone (650) 988-7944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G293680 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090213000370 | CA | Practitioner - Nephrology | 7911974266 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G29368 | CA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Satellite Dialysis of Sunnyvale LLC | Past | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| El Camino Health | Hospital | Corporate Director | Dec 5, 2018 |
| El Camino Health | Hospital | Corporate Director | Dec 5, 2018 |
| El Camino Health | Hospital | Corporate Director | Dec 5, 2018 |
Owned or controlled facilities with NPI records 5
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sunnyvale, CA
- NPI 1922079805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192406400000",
"number": "1104803097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 SOUTH DR",
"address_2": "STE 12",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "94040",
"telephone_number": "650-988-7944",
"fax_number": "650-964-3608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 SOUTH DR",
"address_2": "STE 12",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "94040",
"telephone_number": "650-988-7944",
"fax_number": "650-964-3608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TING",
"first_name": "GEORGE",
"middle_name": "OSCAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2007-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "G29368",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G293680",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.