Individual provider Active NPI

New Sang, MD, MPH

  • Pediatrics Physician
  • Fresno, CA
National Provider Identifier
1154340586
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A93522 Issued in CA
Practice address
1122 S St
Suite 102
Fresno, CA 93721-1430
Phone
(559) 268-1737
Fax
(559) 268-1738
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A93522 CA Primary

Addresses

Primary practice location

1122 S St
Suite 102
Fresno, CA 93721-1430

Mailing address

1122 S St
Suite 102
Fresno, CA 93721-1430
Phone (559) 268-1737

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
I20210106001004 CA Practitioner - Pediatric Medicine 6709072010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A93522CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sang Medical Corp Pediatrics CurrentSince Sep 22, 2020 Accepting new patients
Wilcox Memorial Hospital Past Accepting new patients

Locations

6733 N Willow Ave
Ste 102
Fresno, CA 93710

6733 N Willow Ave
Fresno, CA 93710

5240 N Palm Ave
Ste 103
Fresno, CA 93704
Phone (559) 268-1737

1122 S St
Ste 102
Fresno, CA 93721
Phone (559) 268-1737

Interoperability endpoints

  • Direct secure messaging: nsang17781@valleychildrens-prd.direct-ci.com
  • Direct secure messaging: sang.new.013.0050574@nesa.meditab.direct-ci.com
  • Direct secure messaging: sang.new.005.0050574@nesa.meditab.direct-ci.com

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1154340586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 S ST",
            "address_2": "SUITE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211430",
            "telephone_number": "559-268-1737",
            "fax_number": "559-268-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 S ST",
            "address_2": "SUITE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211430",
            "telephone_number": "559-268-1737",
            "fax_number": "559-268-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANG",
        "first_name": "NEW",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A93522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.