Individual provider Active NPI

Austin Deng

  • Physician Assistant
  • Visalia, CA
National Provider Identifier
1245896877
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
57230 Issued in CA
Practice address
319 N Church St
Visalia, CA 93291-5008
Phone
(855) 733-7772
NPI assigned
May 20, 2019
Last updated
Mar 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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 57230 CA Primary

Addresses

Primary practice location

319 N Church St
Visalia, CA 93291-5008

Mailing address

3780 Rosin CT Ste 110
Sacramento, CA 95834-1698
Phone (916) 441-0226

Other practice location 1

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4700

Other practice location 2

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (360) 256-0556

Other practice location 3

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (360) 256-0556

Other practice location 4

116 S Palisade Dr Ste 200
Santa Maria, CA 93454-8905
Phone (805) 739-3968

Other practice location 5

600 Bercut Dr
Sacramento, CA 95811-0131
Phone (916) 440-1500

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191223002396 CA Practitioner - Physician Assistant 1850725920 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network CurrentSince Nov 18, 2019 Accepting new patients
Golden Valley Health Centers CurrentSince Apr 14, 2025 Accepting new patients
Family Healthcare Network CurrentSince Nov 18, 2019 Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Golden Valley Health Center CurrentSince Apr 14, 2025 Accepting new patients
Elite Corporate Medical Services Inc. Family Medicine CurrentSince May 9, 2021 Accepting new patients
Neighborhood Healthcare CurrentSince Jun 3, 2024 Accepting new patients
Neighborhood Healthcare CurrentSince Jun 3, 2024 Accepting new patients
Family Healthcare Network Current Accepting new patients
Golden Valley Health Center Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

855 E Madison Ave
El Cajon, CA 92020
Phone (619) 440-2751

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481

250 Northgate Dr
Manteca, CA 95336
Phone (209) 381-7120

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

1121 Hammond St
Modesto, CA 95351
Phone (209) 384-6488

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 527-0080

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-6307

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 628-4435

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

319 N Church St
Visalia, CA 93291
Phone (559) 733-7772

501 N Bridge St
Visalia, CA 93291
Phone (559) 734-1939

Interoperability endpoints

  • Direct secure messaging: austin.deng.p1@direct.cdsdp.nextgenshare.com
  • Direct secure messaging: austin.deng@fhcn.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CCECCA

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1245896877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 ROSIN CT STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341698",
            "telephone_number": "916-441-0226",
            "fax_number": "916-441-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 N CHURCH ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915008",
            "telephone_number": "855-733-7772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 E Center Ave",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "93291",
            "country_code": "US",
            "telephone_number": "559-737-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10180 SE Sunnyside Rd",
            "address_purpose": "LOCATION",
            "city": "Clackamas",
            "state": "OR",
            "postal_code": "970158970",
            "country_code": "US",
            "telephone_number": "360-256-0556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10180 SE Sunnyside Rd",
            "address_purpose": "LOCATION",
            "city": "Clackamas",
            "state": "OR",
            "postal_code": "970158970",
            "country_code": "US",
            "telephone_number": "360-256-0556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 S Palisade Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934548905",
            "country_code": "US",
            "telephone_number": "805-739-3968",
            "fax_number": "805-739-3051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Bercut Dr",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958110131",
            "country_code": "US",
            "telephone_number": "916-440-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENG",
        "first_name": "AUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-20",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "57230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.