Active NPI
Sophia Thy Dang, PA-C
- Physician Assistant
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA63570
- Practice address
- 999 N Tustin Ave Ste 216
Santa Ana, CA 92705-6506 - Phone
- (714) 545-5550
- NPI assigned
- Jan 19, 2024
- Last updated
- Mar 14, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Physician Assistant | 363A00000X | PA63570 | CA | Primary |
Addresses
Primary practice location
999 N Tustin Ave Ste 216
Santa Ana, CA 92705-6506
Mailing address
999 N Tustin Ave Ste 216
Santa Ana, CA 92705-6506
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3737 Moraga Ave
Suite B103
San Diego, CA 92117-5352
Phone (858) 799-0855
3900 5TH Ave
Suite 110
San Diego, CA 92103-3122
Phone (858) 554-1212
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63570 | CA | MD | Prosthodontist |
| PA63570 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Market Pharmacy LLC | Current | Accepting new patients |
Locations
999 N Tustin Ave
Ste 216
Santa Ana, CA 92705
Phone (714) 627-9190
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- sophiad@pnsi-ca.direct.office.nextgen.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, 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": "1705622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1265293922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 N TUSTIN AVE STE 216",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927056506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 N TUSTIN AVE STE 216",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927056506",
"telephone_number": "714-545-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANG",
"first_name": "SOPHIA",
"middle_name": "THY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-19",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA63570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
- Kim Nhu Dang, MD, MS
- Kimlien T Dang, PHARMD
- Linh Kim Dang, RN
- Michelle Lananh Dang, PHARM.D
- Nam Phuong Dang
- Daniel C Huang, DDS, Inc (Coastal Image Dental)
- Daniel Capen, M.D., a Professional Corporation
- Daniel Jimenez M.D., Inc. (The Healing Clinic)
- Daniel Jimenez, MD, Inc (Jimenez Medical Group)
- Daniel S Reich MD Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.