NPIMap

Individual provider Active NPI

Sundeep Singh Kang, MD

  • Internal Medicine Physician
  • Vallejo, CA
National Provider Identifier
1366633547
Registry record updated Jun 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18621 Issued in NV
Practice address
300 Hospital Dr
Vallejo, CA 94589-2574
Phone
(707) 554-5367
Fax
(707) 554-5114
NPI assigned
Aug 5, 2007
Last updated
Jun 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 44022 AZ
Internal Medicine Physician 207R00000X 18621 NV Primary
Hospitalist Physician 208M00000X 18621 NV

Addresses

Primary practice location

300 Hospital Dr
Vallejo, CA 94589-2574

Mailing address

300 Hospital Dr
Vallejo, CA 94589-2574
Phone (707) 554-5367

Other practice location 1

235 W 6th St
Reno, NV 89503-4548
Phone (775) 770-6490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA, NV3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110218000346 AZ Practitioner - Internal MedicinePractitioner - Emergency Medicine 6800077256 Reassigns benefits to 1 organization
I20151019000402 CA Practitioner - Internal Medicine 6800077256 Reassigns benefits to 5 organizations
I20190529002560 NV Practitioner - Hospitalist 6800077256 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Veterans Home of CaliforniaGroup PAC ID 5799683827, 25 clinicians
Saint Marys Medical Group IncGroup PAC ID 7618113523, 52 clinicians

Practice addresses (Care Compare)

100 California Dr
Yountville, CA 94599-1411
Phone (707) 944-4506

1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone (707) 429-3600

235 W 6TH St
Reno, NV 89503-4548
Phone (775) 770-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Veterans Home of California CurrentSince May 11, 2020 Accepting new patients
Comprehensive Hospitalist Services of Arizona, LLC Hospitalist CurrentSince Feb 1, 2011 Accepting new patients
Saint Marys Urgent Care LLC Current Accepting new patients
Farallon Inpatient Medical Group Inc CurrentSince Nov 1, 2018 Accepting new patients
Jose a Aguirre MD PC Silver State Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients
Saint Mary's Medical Group Inc CurrentSince Apr 6, 2019 Accepting new patients
Veterans Home of California CurrentSince May 11, 2020 Accepting new patients
Nes Western Group, a Professional Corporation CurrentSince Dec 23, 2023 Accepting new patients
Saint Marys Medical Group Inc. Hospitalist Current Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine CurrentSince Jun 1, 2019 Accepting new patients
Nes Western Group, a Professional Corporation CurrentSince Dec 23, 2023 Accepting new patients
Comprehensive Hospitalist Services of Arizona LLC Hospitalist Current Accepting new patients
Veterans Home of California Current Accepting new patients
Northbay Healthcare Group CurrentSince Jul 1, 2021 Accepting new patients
Northbay Healthcare Group Current Accepting new patients
San Francisco Emergency Medical Associates PastSince Mar 12, 2024 Accepting new patients
Verde Valley Medical Center Past Accepting new patients
Flagstaff Medical Center Past Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

600 Marine Blvd
Moss Beach, CA 94038
Phone (650) 563-7100

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

1227 O St
Rm 402
Sacramento, CA 95814

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

100 California Dr
Yountville, CA 94599
Phone (707) 944-4506

220 California Dr
Yountville, CA 94599
Phone (707) 944-4382

18653 Wedge Pkwy
Ste 110
Reno, NV 89511
Phone (775) 352-7201

235 W 6th St
Reno, NV 89503
Phone (775) 746-3202

5070 Ion Dr
Ste 100
Sparks, NV 89436
Phone (775) 770-7727

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sundeep.kang.p1@direct.smmg.nextgenshare.com

Organizations & group practices 18

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 18

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718496000000",
    "number": "1366633547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HOSPITAL DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892574",
            "telephone_number": "707-554-5367",
            "fax_number": "707-554-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HOSPITAL DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892574",
            "telephone_number": "707-554-5367",
            "fax_number": "707-554-5114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895034548",
            "country_code": "US",
            "telephone_number": "775-770-6490",
            "fax_number": "775-770-3944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "SUNDEEP",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2024-06-16",
        "certification_date": "2024-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "44022",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "18621",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NV",
            "license": "18621",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

Verify at the official NPI Registry.