Individual provider Active NPI

Vicki My Giang, PA-C

  • Physician Assistant
  • Saint Paul, MN
National Provider Identifier
1770268468
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15262 Issued in MN
Practice address
2550 University Ave W Ste 130N
Saint Paul, MN 55114-1096
Phone
(651) 447-3755
NPI assigned
Jun 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15262 MN Primary

Addresses

Primary practice location

2550 University Ave W Ste 130N
Saint Paul, MN 55114-1096

Mailing address

8201 Fremont Ave S
Bloomington, MN 55420-2145
Phone (952) 994-1367

Other practice location 1

8201 Fremont Ave S
Bloomington, MN 55420-2145
Phone (952) 994-1367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20251217001929 MN Practitioner - Physician Assistant 7315432309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sasaki Medical LLCGroup PAC ID 3779879903, 21 clinicians

Practice addresses (Care Compare)

2550 University Ave W
Suite 130N
Saint Paul, MN 55114-1096
Phone (651) 447-3755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15262MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sasaki Medical LLC CurrentSince Sep 11, 2025 Accepting new patients
Sasaki Medical LLC CurrentSince Sep 11, 2025 Accepting new patients
Sasaki Medical LLC Past Accepting new patients

Locations

705 5th St NW
Ste D
Bemidji, MN 56601
Phone (218) 444-7186

7831 Glenroy Rd
Ste 145
Minneapolis, MN 55439

777 Raymond Ave
Saint Paul, MN 55114
Phone (651) 447-3455

2550 University Ave W
Ste 130N
Saint Paul, MN 55114

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1770268468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 FREMONT AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554202145",
            "telephone_number": "952-994-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W STE 130N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141096",
            "telephone_number": "651-447-3755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8201 Fremont Ave S",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554202145",
            "country_code": "US",
            "telephone_number": "952-994-1367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIANG",
        "first_name": "VICKI",
        "middle_name": "MY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "15262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.