Individual provider Active NPI

Glen Xiong, M.D.

  • Psychiatry Physician
  • Sacramento, CA
National Provider Identifier
1114945102
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A93942 Issued in CA
Practice address
2230 Stockton Blvd
Sacramento, CA 95817-1419
Phone
(916) 734-7814
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A93942 CA Primary

Addresses

Primary practice location

2230 Stockton Blvd
Sacramento, CA 95817-1419

Mailing address

2230 Stockton Blvd
Sacramento, CA 95817-1419
Phone (916) 734-7814

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060815000181 CA Practitioner - PsychiatryPractitioner - Internal Medicine 6103829007 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Internal Medicine
Education
University of California, Davis School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Glenl Xiong, MdincGroup PAC ID 5698165975, 5 clinicians
All Inclusive Medical Services IncGroup PAC ID 3274855879, 21 clinicians

Practice addresses (Care Compare)

500 Jessie Ave
Sacramento, CA 95838-2609
Phone (916) 922-7177

5900 Coyle Ave
Suite a
Carmichael, CA 95608-0400
Phone 9164149055100

Hospital & facility affiliations

  • North Pointe Care Center Nursing home, Sacramento, CA, CCN 555400

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

Merit-based Incentive Payment System (MIPS)

Final score
27.55 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
91.82

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as group
Quality
86.24
Promoting interoperability
100
Improvement activities
40
Cost
78.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A93942CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Ca Psychiatry CurrentSince Oct 30, 2010 Accepting new patients
All Inclusive Medical Services, Inc CurrentSince Mar 1, 2025 Accepting new patients
Regents of the University of California CurrentSince Oct 1, 2021 Accepting new patients
Regents of the University of California CurrentSince Oct 1, 2021 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the Univ of Ca CurrentSince Oct 30, 2010 Accepting new patients
Sacramento Skilled Nursing and Long Term Care Medical Group Inc. CurrentSince Jan 11, 2017 Accepting new patients
Glenl Xiong, Mdinc CurrentSince Oct 1, 2021 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Awcs, LLC PastSince Feb 26, 2024 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Essent PRMC LP Past Accepting new patients

Locations

5900 Coyle Ave
Ste A
Carmichael, CA 95608
Phone (916) 330-4447

643 W East Ave
Chico, CA 95926
Phone (530) 342-0502

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

310 Oak Ridge Dr
Roseville, CA 95661
Phone (530) 320-6227

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

3160 Folsom Blvd
Ste 1400
Sacramento, CA 95816
Phone (916) 731-1831

2230 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2614

500 Jessie Ave
Sacramento, CA 95838
Phone (916) 668-0683

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

Interoperability endpoints

  • Direct secure messaging: gxiong240933@hisp.ehr.sutterhealth.org

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.

FacilityTypeRoleSince
University Post-Acute RehabSacramento, CA, CCN 555265 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 12, 2024
Jan 12, 2024
Cottonwood Healthcare CenterWoodland, CA, CCN 056098 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Feb 26, 2024
Feb 26, 2024
North Pointe Care CenterSacramento, CA, CCN 555400 Skilled nursing facility Contracted Managing Employee Jan 1, 2017

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1114945102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 STOCKTON BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171419",
            "telephone_number": "916-734-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 STOCKTON BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171419",
            "telephone_number": "916-734-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIONG",
        "first_name": "GLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A93942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.