Active NPI
New Sang, MD, MPH
- Pediatrics Physician
- Fresno, CA
National Provider Identifier
1154340586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A93522
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210106001004 | CA | Practitioner - Pediatric Medicine | 6709072010 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A93522 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sang Medical Corp | Pediatrics | Current | 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
- nsang17781@valleychildrens-prd.direct-ci.com
- sang.new.013.0050574@nesa.meditab.direct-ci.com
- 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.
-
- Pediatrics Physician
- Fresno, CA
- NPI 1003251687
-
- Rural Acute Care Hospital
- Lihue, HI
- NPI 1225113442
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.