Charles Shang, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L4709 Issued in TX

Practice address

136 Glasson Way
Grass Valley, CA 95945-5706

Phone

(530) 272-8452

Fax

(530) 477-5182

NPI assigned

Jan 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Internal Medicine

Education

Boston University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Grass Valley Extended Care IncGroup PAC ID 7416262589, 3 clinicians

Kuldip Gill M D P CGroup PAC ID 7911990023, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oroville Hospital Hospital, Oroville, CA, CCN 050030
• Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
• Sierra Nevada Memorial Hospital Hospital, Grass Valley, CA, CCN 050150
• Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
• Vacaville Ranch Post Acute Nursing home, Vacaville, CA, CCN 055412

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Grass Valley Extended Care Inc

  • Preferred Provider Organization
  • Grass Valley, CA
  • NPI 1356765218
  Medicare reassignment Care Compare group NPD
• Kuldip Gill M D P C

  • Internal Medicine Physician
  • Grass Valley, CA
  • NPI 1932397601
  Medicare reassignment Care Compare group NPD
• Galen Inpatient Physicians, PC

  • Hospitalist Physician
  • Manteca, CA
  • NPI 1689320459
  Medicare reassignment NPD
• Lodi Memorial Hospital Association, Inc

  • Primary Care Clinic/Center
  • Lodi, CA
  • NPI 1861649352
  Medicare reassignment NPD
• UC Regents

  • Infectious Disease Physician
  • Orange, CA
  • NPI 1760430847
  Medicare reassignment NPD
• Physicians Referral Service

  • Multi-Specialty Clinic/Center
  • Houston, TX
  • NPI 1073574810
  Medicare reassignment NPD
• Eastern Medical Center Professional Medical Corporation

  • Family Medicine Physician
  • Sacramento, CA
  • NPI 1598093262
  Medicare reassignment
• Galen Inpatient Physicians PC

  • Hospitalist Physician
  • Los Angeles, CA
  • NPI 1205787686
  NPD
• Galen Inpatient Physicians PC

  • Internal Medicine Physician
  • Sonora, CA
  • NPI 1902281009
  NPD
• Lodi Memorial Hospital Association Inc

  • General Acute Care Hospital
  • Lodi, CA
  • NPI 1316938301
  NPD
• UC Regents

  • Internal Medicine Physician
  • Orange, CA
  • NPI 1205884392
  NPD
• UC Regents

  • Pulmonary Disease Physician
  • Orange, CA
  • NPI 1629026729
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Oroville Hospital

  • General Acute Care Hospital
  • Oroville, CA
  • NPI 1871606269
  Care Compare affiliation
• Pitaya Healthcare LLC

  • Skilled Nursing Facility
  • Vacaville, CA
  • NPI 1235823550

  Nursing home

  Care Compare affiliation
• Sierra Nevada Memorial-Miners Hospital

  • General Acute Care Hospital
  • Grass Valley, CA
  • NPI 1659361392
  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Roseville, CA
  • NPI 1356390264
  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1811946734
  Care Compare affiliation

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1104805902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 SIERRA COLLEGE DR STE 205",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455763",
            "telephone_number": "530-263-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 GLASSON WAY",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455706",
            "telephone_number": "530-272-8452",
            "fax_number": "530-477-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANG",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2023-06-16",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L4709",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MA",
            "license": "225106",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID CSHCN",
            "identifier": "157966606",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157966605",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shellee Ann Sepko, LMFT
• Debra Lynn Settlemier
• Melika Shafiee
• Shalvi Shaili
• Alice E Shallcross, DO
• Nicole Marie Shanklin, D.M.D.
• Susan E Shapiro, M.D.
• Desiree L Sharp
• Carol Yvonne Sharps, PHARM TECH
• Maureen Clare Shea-Burgess, CMT

• Internal Medicine Physician in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.