NPIMap

Individual provider Active NPI

Sandeep Singh Dang, M.D.

  • Nephrology Physician
  • Fountain Valley, CA
National Provider Identifier
1730146937
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A79958 Issued in CA
Practice address
11100 Warner Ave Ste 218
Fountain Valley, CA 92708-7511
Phone
(714) 641-9696
Fax
(714) 641-1211
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A79958 CA Primary

Addresses

Primary practice location

11100 Warner Ave Ste 218
Fountain Valley, CA 92708-7511

Mailing address

4225 Executive SQ Ste 450
La Jolla, CA 92037-8411
Phone (858) 810-8000

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
I20061017000406 CA Practitioner - NephrologyPractitioner - Internal Medicine 1759387640 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

11100 Warner Ave
Suite 218
Fountain Valley, CA 92708-7511
Phone (714) 641-9696

19582 Beach Blvd
Huntington Beach, CA 92648-5924
Phone (714) 641-9696

320 Superior Ave
Suite 350
Newport Beach, CA 92663-2795
Phone (714) 641-9696

8885 Rio San Diego Dr
Suite 212
San Diego, CA 92108-1626
Phone (619) 299-2350

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Balboa Nephrology Medical Group, Inc. Nephrology CurrentSince Jun 25, 2020 Accepting new patients
Sandeep S. Dang, MD, Inc. Nephrology CurrentSince Mar 23, 2009 Accepting new patients
Balboa Nephrology Medical Group,Inc. CurrentSince Jun 25, 2020 Accepting new patients
Newport Mesa Dialysis Services, LLC PastSince Jun 9, 2016 Accepting new patients
Saint Joseph Health System, Inc Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
South Coast Global Medical Center, Inc Past Accepting new patients
Saint Joseph Hospital Pharmacy Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients

Locations

737 W Hobsonway
Blythe, CA 92225
Phone (760) 922-4415

11100 Warner Ave
Ste 218
Fountain Vly, CA 92708
Phone (714) 424-0290

17150 Euclid St
Ste 200
Fountain Vly, CA 92708
Phone (714) 751-0995

12666 Brookhurst St
Ste 130
Garden Grove, CA 92840
Phone (714) 332-1069

19582 Beach Blvd
Ste 270
Huntington Beach, CA 92648
Phone (714) 232-8833

19582 Beach Blvd
Ste 314
Huntington Beach, CA 92648
Phone (714) 378-2421

15825 Laguna Canyon Rd
Ste 202
Irvine, CA 92618
Phone (949) 653-7878

4225 Executive Sq
Ste 450
La Jolla, CA 92037
Phone (858) 810-8000

520 Superior Ave
Ste 230
Newport Beach, CA 92663
Phone (714) 979-2825

320 Superior Ave
Ste 350
Newport Beach, CA 92663
Phone (949) 548-1188

3300 Vista Way
Ste B
Oceanside, CA 92056
Phone (760) 967-9569

4060 4th Ave
Ste 220
San Diego, CA 92103
Phone (619) 299-2350

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sdang24199@direct.acumenmd.com

Organizations & group practices 9

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 7

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1730146937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 EXECUTIVE SQ STE 450",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920378411",
            "telephone_number": "858-810-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE STE 218",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087511",
            "telephone_number": "714-641-9696",
            "fax_number": "714-641-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "SANDEEP",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A79958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.