John Sangmoah

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

22011 Issued in CA

Practice address

6400 West Blvd Apt 216
Los Angeles, CA 90043-3868

Phone

(323) 200-4524

NPI assigned

Dec 8, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

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• SNF Wound Care

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  Medicare reassignment
• Skilled Facility Health Care Solutions Inc

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  • Los Angeles, CA
  • NPI 1871756403
  NPD

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671235200000",
    "number": "1659649341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 WEST BLVD APT 216",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900433868",
            "telephone_number": "323-200-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 WEST BLVD APT 216",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900433868",
            "telephone_number": "323-200-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGMOAH",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-08",
        "last_updated": "2022-12-17",
        "certification_date": "2022-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "22011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sangdo Park, M.D., a Professional Corporation
• Sangduk Oh, DDS, Inc
• Bikramjit S. Sangha, MD
• Gurleen Kaur Sangha
• Manreet Sangha, DPT
• Sangmoo Lee DDS Inc
• Ifetayo Sangode-Olaitan
• Miguel A Sanguino, MSW
• Nidia Sanguino, CLIENT ENGAGEMENT
• Aimon Sangwanpanich, NP

• Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2022; 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.

Verify at the official NPI Registry.