Individual provider Active NPI

Sheanhuey NG, MD

  • Pediatric Rehabilitation Medicine Physician
  • Oakland, CA
National Provider Identifier
1124418587
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X
License
A194545 Issued in CA
Practice address
747 52ND St
Oakland, CA 94609-1809
Phone
(510) 428-3000
NPI assigned
Jan 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rehabilitation Medicine Physician 2081P0010X 61969 AZ
Pediatric Rehabilitation Medicine Physician 2081P0010X A194545 CA Primary

Addresses

Primary practice location

747 52ND St
Oakland, CA 94609-1809

Mailing address

747 52ND St
Oakland, CA 94609-1809
Phone (510) 428-3000

Other practice location 1

1825 4th St Fl 5
San Francisco, CA 94143-2350
Phone (415) 353-2967

Other identifiers 1

IdentifierTypeStateIssuer
1124418587OtherNPI

Other names 1

  • Jasmine NG Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, 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

Enrollment IDStateProvider typePAC IDDetails
I20220228000300 AZ Practitioner - Physical Medicine and Rehabilitation 5092023572 Reassigns benefits to 1 organization
I20240627001633 CA Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 5092023572 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A194545CAMDPediatric Rehabilitation Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Jun 14, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 14, 2024 Accepting new patients
Phoenix Children'S Hospital Pediatrics CurrentSince Nov 20, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 14, 2024 Accepting new patients
UCSF Dept of Surgery CurrentSince Jun 14, 2024 Accepting new patients
University of California San Francisco CurrentSince Jun 14, 2024 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
Phoenix Children'S Medical Group CurrentSince Nov 20, 2021 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

6524 W Sack Dr
Ste 210
Glendale, AZ 85308

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

1919 E Thomas Rd
Ste E
Phoenix, AZ 85016

3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1825 4th St
Fl 5
San Francisco, CA 94143
Phone (415) 353-2101

1825 4th St
Fl 5B
San Francisco, CA 94143

1825 4th St
Fl 55B
San Francisco, CA 94143

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

Interoperability endpoints

  • Direct secure messaging: jng371253@direct-ucsfmedicalcenter.org

Organizations & group practices 9

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": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1124418587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 52ND ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 52ND ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 4th St Fl 5",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941432350",
            "country_code": "US",
            "telephone_number": "415-353-2967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NG",
        "first_name": "SHEANHUEY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-23",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "AZ",
            "license": "61969",
            "primary": false
        },
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "CA",
            "license": "A194545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124418587",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASMINE",
            "last_name": "NG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.