Active NPI
Norman Pang MD
- Pain Medicine (Anesthesiology) Physician
- Santa Rosa, CA
National Provider Identifier
1821026873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- NORMAN PANG MD
- Practice address
- 2465 Summerfield Rd
Santa Rosa, CA 95405 - Phone
- (707) 762-8586
- NPI assigned
- Jun 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Norman Pang, MD
- Title
- President
- Phone
- (707) 762-8586
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
2465 Summerfield Rd
Santa Rosa, CA 95405
Mailing address
PO Box 7096
Stockton, CA 95267
Phone (209) 956-7725
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00127835 | Other | CA | RAILROAD MEDICARE |
| 00A615060 | Other | CA | BLUE SHIELD OF CALIFORNIA |
| 200525200 | Other | CA | US DEPT OF LABOR |
National Provider Directory
National Provider Directory- Tax ID family
- Norman Pang MD
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pain Medicine (Anesthesiology) Physician
- Petaluma, CA
- NPI 1730117789
-
- Pain Medicine (Anesthesiology) Physician
- Santa Rosa, CA
- NPI 1912935966
Locations
2465 Summerfield Rd
Santa Rosa, CA 95405
Phone (707) 537-2070
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Petaluma, CA
- NPI 1861434367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235952000000",
"number": "1821026873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7096",
"city": "STOCKTON",
"state": "CA",
"postal_code": "95267",
"telephone_number": "209-956-7725",
"fax_number": "209-956-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2465 SUMMERFIELD RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "95405",
"telephone_number": "707-762-8586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORMAN PANG MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-29",
"last_updated": "2009-03-02",
"status": "A",
"authorized_official_last_name": "PANG",
"authorized_official_first_name": "NORMAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "707-762-8586",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00127835",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "00A615060",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "200525200",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.