Individual provider Active NPI

Emily Piklam NG

  • Psychiatry Physician
  • Fresno, CA
National Provider Identifier
1730619818
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A156881 Issued in CA
Practice address
4411 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone
(559) 600-7180
Fax
(559) 600-7708
NPI assigned
Jun 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A156881 CA Primary

Addresses

Primary practice location

4411 E Kings Canyon Rd
Fresno, CA 93702-3604

Mailing address

3988 E Hardy St Apt 230
Inglewood, CA 90303-2259
Phone (626) 377-1193

Other practice location 1

9353 Valley Blvd
Rosemead, CA 91770-1923
Phone (626) 287-2988

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210913001336 CA Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 7719383009 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
University of South Florida College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific ClinicsGroup PAC ID 4082008420, 72 clinicians
Alliance for Wellness IncGroup PAC ID 9931355617, 58 clinicians

Practice addresses (Care Compare)

1020 S Arroyo Pkwy
Pasadena, CA 91105-3911
Phone (626) 403-2794

14850 Roscoe Blvd
Panorama City, CA 91402-4618
Phone (818) 787-2222

800 S Santa Anita Ave
Arcadia, CA 91006-3536

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A156881CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Clinics CurrentSince Dec 5, 2023 Accepting new patients
Pacific Clinics CurrentSince Dec 5, 2023 Accepting new patients
Alliance for Wellness, Inc. Psychiatry CurrentSince Jul 1, 2021 Accepting new patients
Pacific Clinics Current Accepting new patients

Locations

251 Llewellyn Ave
Campbell, CA 95008
Phone (408) 364-4083

16260 Ventura Blvd
Ste 630
Encino, CA 91436
Phone (747) 264-9201

501 E Hardy St
Ste 425
Inglewood, CA 90301
Phone (310) 419-4303

9250 Reseda Blvd
Ste 658
Northridge, CA 91324

1020 S Arroyo Pkwy
Pasadena, CA 91105
Phone (626) 403-2794

9353 Valley Blvd
Rosemead, CA 91770
Phone (626) 287-2988

14850 Roscoe Blvd
Van Nuys, CA 91402
Phone (818) 787-2222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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 3

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": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1730619818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3988 E HARDY ST APT 230",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903032259",
            "telephone_number": "626-377-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 E KINGS CANYON RD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937023604",
            "telephone_number": "559-600-7180",
            "fax_number": "559-600-7708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9353 Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "Rosemead",
            "state": "CA",
            "postal_code": "917701923",
            "country_code": "US",
            "telephone_number": "626-287-2988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NG",
        "first_name": "EMILY",
        "middle_name": "PIKLAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A156881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.