David C. NG, DPM, Inc.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E4111 Issued in CA

Legal business name

DAVID C. NG, DPM, INC.

Practice address

123 Hodencamp Rd Ste 101
Thousand Oaks, CA 91360-5833

Phone

(805) 497-7822

Fax

(805) 293-6768

NPI assigned

Dec 6, 2006

Last updated

Jan 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Chang NG, DPMNPI 1326101593

Title

President

Phone

(805) 497-7822

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Chang NG, DPM

  • Podiatrist
  • Thousand Oaks, CA
  • NPI 1326101593
  Medicare reassignment NPD Authorized official
• Stephen J. Seymour, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Gardnerville, NV
  • NPI 1003055245
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1730247057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13960 BLACK ROCK CIR",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930215025",
            "telephone_number": "805-497-7822",
            "fax_number": "805-293-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HODENCAMP RD STE 101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605833",
            "telephone_number": "805-497-7822",
            "fax_number": "805-293-6768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 E Thousand Oaks Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913626271",
            "country_code": "US",
            "telephone_number": "626-576-1608",
            "fax_number": "626-576-1607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAVID C. NG, DPM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-497-7822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER ID #",
            "identifier": "000E41111",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E41110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.