Active NPI
Joshua NG, NP
- Nurse Practitioner
- South San Francisco, CA
National Provider Identifier
1619461365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP95009069
- Practice address
- 161 S Spruce Ave Ste B
South San Francisco, CA 94080-4517 - Phone
- (650) 871-5858
- NPI assigned
- Jun 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP95009069 | CA | Primary |
Addresses
Primary practice location
161 S Spruce Ave Ste B
South San Francisco, CA 94080-4517
Mailing address
26 Gateway Dr
Pacifica, CA 94044-1114
Phone (650) 733-6159
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95056318 | Other | CA | BOARD OF REGISTERED NURSING |
| NP95009069 | Other | CA | BOARD OF REGISTERED NURSING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95009069 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palo Alto Medical Foundation | Past | Accepting new patients | |
| Manuel Luna MD Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Family Medicine Physician
- South San Francisco, CA
- NPI 1467799569
-
- Non-Pharmacy Dispensing Site
- Santa Cruz, CA
- NPI 1114182649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529193600000",
"number": "1619461365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 GATEWAY DR",
"city": "PACIFICA",
"state": "CA",
"postal_code": "940441114",
"telephone_number": "650-733-6159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 S SPRUCE AVE STE B",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940804517",
"telephone_number": "650-871-5858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NG",
"first_name": "JOSHUA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-17",
"last_updated": "2018-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP95009069",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF REGISTERED NURSING",
"identifier": "95056318",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF REGISTERED NURSING",
"identifier": "NP95009069",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.