NPIMap

Individual provider Active NPI

Praise Tsan En Shang, M.D.

  • Family Medicine Physician
  • San Ramon, CA
National Provider Identifier
1265522346
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A93489 Issued in CA
Practice address
200 Porter Drive
Suite 300
San Ramon, CA 94583-1524
Phone
(925) 838-6511
Fax
(925) 838-6544
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A93489 CA Primary

Addresses

Primary practice location

200 Porter Drive
Suite 300
San Ramon, CA 94583-1524

Mailing address

1450 Treat Blvd
Suite 300
Walnut Creek, CA 94597-2168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070329000560 CA Practitioner - Family Practice 4587608161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
John Muir Physician NetworkGroup PAC ID 6608789813, 488 clinicians

Practice addresses (Care Compare)

200 Porter Dr
Suite 300
San Ramon, CA 94583-1524
Phone (925) 838-6511

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
93489CAMDClinical Social Worker
A93489CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Physician Network CurrentSince Oct 22, 2016 Accepting new patients
Cardinal Primary Care Medical Group, Inc Family Medicine Past Accepting new patients
Diablo Valley Primary Care, Inc. Family Medicine PastSince Dec 1, 2010 Accepting new patients
John Muir Health Past Accepting new patients
John Muir Health Past Accepting new patients
Wilson Care, LLC Family Medicine Past Accepting new patients

Locations

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

4000 Dublin Blvd
Ste 305
Dublin, CA 94568
Phone (925) 556-4460

380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840

200 Porter Dr
Ste 300
San Ramon, CA 94583
Phone (925) 838-6500

1450 Treat Blvd
Ste 300
Walnut Creek, CA 94597

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/107/brand/1/csg/1/fhir/r4
  • Direct secure messaging: pshang70705@ehr.johnmuirhealth.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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1265522346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 TREAT BLVD",
            "address_2": "SUITE 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PORTER DRIVE",
            "address_2": "SUITE 300",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831524",
            "telephone_number": "925-838-6511",
            "fax_number": "925-838-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANG",
        "first_name": "PRAISE",
        "middle_name": "TSAN EN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A93489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.