Ming Fang MD Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A-83531 Issued in CA

Legal business name

MING FANG MD INC

Practice address

675 Ygnacio Valley Rd
Suite 215
Walnut Creek, CA 94596-3860

Phone

(925) 776-7600

NPI assigned

Jan 20, 2010

Reactivated

Jul 19, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Ming Fang, MDNPI 1366520199

Title

President

Phone

(510) 230-8628

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ming Fang, MD

  • Gastroenterology Physician
  • Walnut Creek, CA
  • NPI 1366520199

  CA

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1174854863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 SORRELWOOD CT",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825004",
            "telephone_number": "510-230-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 YGNACIO VALLEY RD",
            "address_2": "SUITE 215",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963860",
            "telephone_number": "925-776-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MING FANG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2019-07-19",
        "deactivation_date": "2019-02-22",
        "reactivation_date": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "FANG",
        "authorized_official_first_name": "MING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-230-8628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A-83531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryann Milne-Price, MD
• Danielle Milton
• Elliot Thomas Min, MD
• Michelle Min, PA-C
• Mindful Child Assessment & Counseling, Inc
• Jennifer Anne Minglana
• Pawandeep Kaur Minhas
• Michelle L Minor, RN PNP MN
• Minton Chiropractic Apc
• Albert Dizon Miraflores

• All providers in Walnut Creek, CA
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.