Individual provider Active NPI

Shao-Zheng Ding, MD

  • Family Medicine Physician
  • Sumter, SC
National Provider Identifier
1205917887
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A92765 Issued in CA
Practice address
115 N Sumter St Ste 400
Sumter, SC 29150-4971
Phone
(803) 774-7425
Fax
(803) 774-9426
NPI assigned
Oct 18, 2006
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25370 SC
Family Medicine Physician 207Q00000X A92765 CA Primary

Addresses

Primary practice location

115 N Sumter St Ste 400
Sumter, SC 29150-4971

Mailing address

PO Box 743904
Atlanta, GA 30374-3904
Phone (864) 522-8603

Other identifiers 1

IdentifierTypeStateIssuer
253709MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, SC2 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
I20051221001097 CA Practitioner - Family Practice 9335161033 Reassigns benefits to 3 organizations
I20210125001512 SC Practitioner - Family Practice 9335161033

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asian Pacific Health Care Venture, Inc.Group PAC ID 8729997390, shared by 3 NPIs, 20 clinicians

Practice addresses (Care Compare)

1530 Hillhurst Ave
Los Angeles, CA 90027-5516
Phone (323) 644-3880

9960 Baldwin PL
El Monte, CA 91731-2204
Phone (626) 774-2988

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Department of State Hospitals Current Accepting new patients
Department of State Hospitals CurrentSince Oct 9, 2017 Accepting new patients
Asian Pacific Health Care Venture, Inc. CurrentSince Sep 5, 2023 Accepting new patients
Regents of the University of California CurrentSince Jan 23, 2023 Accepting new patients
Asian Pacific Health Care Venture, Inc. CurrentSince Sep 5, 2023 Accepting new patients
Regents of the University of California CurrentSince Jan 23, 2023 Accepting new patients

Locations

10333 El Camino Real
Atascadero, CA 93422
Phone (805) 468-2000

9960 Baldwin Pl
El Monte, CA 91731
Phone (626) 774-2988

1530 Hillhurst Ave
Los Angeles, CA 90027
Phone (323) 644-3880

4216 Fountain Ave
Los Angeles, CA 90029
Phone (323) 644-3880

550 W Ranch View Dr
Rocklin, CA 95765
Phone (916) 295-5700

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

4900 Broadway
Ste 1200
Sacramento, CA 95820
Phone (916) 734-9255

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: shaozheng.ding.p1@direct.aphcv.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1205917887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743904",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N SUMTER ST STE 400",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504971",
            "telephone_number": "803-774-7425",
            "fax_number": "803-774-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DING",
        "first_name": "SHAO-ZHENG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "25370",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A92765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253709",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.