Individual provider Active NPI

Sophie Vang, NP

  • Family Nurse Practitioner
  • Elk Grove, CA
National Provider Identifier
1336692474
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95004446 Issued in CA
Practice address
10072 Mosaic Way
Elk Grove, CA 95757-5959
Phone
(916) 601-1090
NPI assigned
Jul 25, 2016
Last updated
Aug 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95004446 CA Primary

Addresses

Primary practice location

10072 Mosaic Way
Elk Grove, CA 95757-5959

Mailing address

10072 Mosaic Way
Elk Grove, CA 95757-5959
Phone (916) 601-1090

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
I20160928001057 CA Practitioner - Nurse Practitioner 3779870100 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinic Services of California Medical Group IncGroup PAC ID 7810209715, 65 clinicians
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

1235 W Vine St
Suite 20
Lodi, CA 95240-5144
Phone (209) 334-3411

6600 Bruceville Rd
Sacramento, CA 95823-4671
Phone (916) 688-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Current Accepting new patients
Natomas Urgent Care Inc. CurrentSince Feb 1, 2021 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
Permanente Medical Group Inc CurrentSince Dec 13, 2023 Accepting new patients
Elk Grove Urgent Care Inc CurrentSince Feb 1, 2021 Accepting new patients
Cep America - California CurrentSince May 1, 2018 Accepting new patients
Permanente Medical Group, Inc CurrentSince Dec 13, 2023 Accepting new patients
Capitol Urgent Care Inc CurrentSince Feb 1, 2021 Accepting new patients
Clinic Services of California Medical Group Inc CurrentSince Nov 14, 2022 Accepting new patients
Cep America-California CurrentSince May 1, 2018 Accepting new patients
California Urgent Care Center Professional Corporation CurrentSince Aug 9, 2016 Accepting new patients
Davis Urgent Care Inc. CurrentSince Feb 1, 2021 Accepting new patients
Folsom Urgent Care Inc CurrentSince Feb 1, 2021 Accepting new patients
Elk Grove Urgent Care PastSince Feb 1, 2021 Accepting new patients

Locations (25 of 27)

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4515 Fermi Pl
Ste 105
Davis, CA 95618
Phone (530) 759-9110

9045 Bruceville Rd
Ste 100
Elk Grove, CA 95758
Phone (916) 479-9110

1600 Creekside Dr
Ste 1400
Folsom, CA 95630
Phone (916) 984-8244

1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

1235 W Vine St
Ste 20
Lodi, CA 95240
Phone (209) 339-7410

2122 W Kettleman Ln
Lodi, CA 95242
Phone (209) 224-8512

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000

4321 Truxel Rd
Ste F4
Sacramento, CA 95834
Phone (916) 947-9110

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

6600 Bruceville Rd
Sacramento, CA 95823

7200 S Land Park Dr
Ste 100
Sacramento, CA 95831
Phone (916) 422-9110

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

8001 Lorraine Ave
Stockton, CA 95210
Phone (209) 472-7400

Organizations & group practices 14

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 14

Hospital & facility affiliations 2

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": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1336692474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10072 MOSAIC WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957575959",
            "telephone_number": "916-601-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10072 MOSAIC WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957575959",
            "telephone_number": "916-601-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANG",
        "first_name": "SOPHIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

Verify at the official NPI Registry.