Individual provider Active NPI

Jade Sanguanruang, PHYSICIAN ASSISTANT

  • Physician Assistant
  • New Orleans, LA
National Provider Identifier
1194532044
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1226648 Issued in LA
Practice address
1 Drexel Dr
New Orleans, LA 70125-1098
Phone
(504) 520-5119
NPI assigned
Dec 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1226648 LA Primary

Addresses

Primary practice location

1 Drexel Dr
New Orleans, LA 70125-1098

Mailing address

1 Drexel Dr
New Orleans, LA 70125-1098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250311000472 LA Practitioner - Physician Assistant 9032630702 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baton Rouge Radiology Group IncGroup PAC ID 8729076229, 39 clinicians

Practice addresses (Care Compare)

5422 Dijon Dr
Baton Rouge, LA 70808-4315
Phone (225) 769-9337

7520 Perkins Rd
Suite 290
Baton Rouge, LA 70808-9130
Phone (225) 769-6700

8080 Bluebonnet Blvd
Baton Rouge, LA 70810-7827
Phone (225) 408-8080

Hospital & facility affiliations

  • Surgical Specialty Center of Baton Rouge Hospital, Baton Rouge, LA, CCN 190251
  • Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1226648LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Sep 13, 2025 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Baton Rouge Clinic, a Medical Corporation CurrentSince Mar 15, 2026 Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince Nov 15, 2025 Accepting new patients
Baton Rouge Clinic, a Medical Corporation CurrentSince Mar 15, 2026 Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince Nov 15, 2025 Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 13, 2025 Accepting new patients

Locations

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

7373 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 246-9790

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239

8595 Picardy Ave
Ste 320
Baton Rouge, LA 70809
Phone (225) 237-1880

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Interoperability endpoints

  • Direct secure messaging: jade.sanguanruang.1@25776.direct.athenahealth.com
  • Direct secure messaging: jsanguanruang2463262@direct.ochsner.org

Organizations & group practices 10

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 7

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": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1194532044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DREXEL DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701251098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DREXEL DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701251098",
            "telephone_number": "504-520-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGUANRUANG",
        "first_name": "JADE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "1226648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.