Individual provider Active NPI

Pang F Martin, LCSW

  • Clinical Social Worker
  • Sacramento, CA
National Provider Identifier
1114537685
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
134366 Issued in CA
Practice address
601 University Ave Ste 280
Sacramento, CA 95825-6745
Phone
(916) 243-6923
NPI assigned
Aug 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 134366 CA Primary

Addresses

Primary practice location

601 University Ave Ste 280
Sacramento, CA 95825-6745

Mailing address

7949 Caymus Dr
Sacramento, CA 95829-1446
Phone (916) 947-4443

Other names 1

  • Ms. Pang F Thao Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Sacramento

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251107000556 CA Practitioner - Clinical Social Worker 4486144433 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

673 S Auburn St
Suite B
Grass Valley, CA 95945-7576

673 S Auburn St B
Grass Valley, CA 95945-7576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
134366CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Family Therapy Centers, Inc. CurrentSince Oct 24, 2025 Accepting new patients

Locations

673 S Auburn St
Ste B
Grass Valley, CA 95945
Phone (530) 913-5054

601 University Ave
Ste 280
Sacramento, CA 95825
Phone (530) 913-7221

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1596844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1114537685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7949 CAYMUS DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958291446",
            "telephone_number": "916-947-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 UNIVERSITY AVE STE 280",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256745",
            "telephone_number": "916-243-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PANG",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-08",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "134366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Sacramento",
            "affiliation": "N",
            "endpointDescription": "Practice location city",
            "address_1": "601 University Ave Ste 280",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958256745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PANG",
            "last_name": "THAO",
            "middle_name": "F",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.