NPIMap

Individual provider Active NPI

Norman Pang, MD

  • Pain Medicine (Anesthesiology) Physician
  • Petaluma, CA
National Provider Identifier
1861434367
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A61506 Issued in CA
Practice address
3835 Cypress Dr Ste 102
Petaluma, CA 94954-6966
Phone
(707) 762-8586
Fax
(707) 762-8582
NPI assigned
Jun 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X A61506 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X A61506 CA Primary

Addresses

Primary practice location

3835 Cypress Dr Ste 102
Petaluma, CA 94954-6966

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725

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
I20041006001230 CA Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Pain Management 5698734507 Practice locations: Napa, CA; Novato, CA; Petaluma, CA; Santa Rosa, CA; Sonoma, CA

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology, Pain Management
Education
Loma Linda University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

30 Mark W Springs Rd
Santa Rosa, CA 95403-1436
Phone (707) 576-4000

347 Andrieux St
Sonoma, CA 95476-6811
Phone (707) 935-5000

3835 Cypress Dr
Suite 102
Petaluma, CA 94954-6966
Phone (707) 762-8586

Hospital & facility affiliations

  • Sonoma Valley Hospital Hospital, Sonoma, CA, CCN 050090
  • Petaluma Valley Hospital Hospital, Petaluma, CA, CCN 050136

Merit-based Incentive Payment System (MIPS)

Final score
25.91 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
86.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A61506CAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Pang MD Pain Medicine PastSince Jan 1, 1990 Accepting new patients
Sutter Valley Hospitals Interventional Pain Medicine Past Accepting new patients
Alliance Pain Care Pain Medicine PastSince Jan 1, 1990 Accepting new patients
Sutter Bay Hospitals Interventional Pain Medicine Past Accepting new patients
Norman Pang MD Pain Medicine PastSince Jan 1, 1990 Accepting new patients
Sonoma Valley Health Care District Interventional Pain Medicine Past Accepting new patients
St. Joseph Health Northern California, LLC Interventional Pain Medicine Past Accepting new patients

Organizations & group practices 7

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 2

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1861434367",
    "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": "952670096",
            "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": "3835 CYPRESS DR STE 102",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546966",
            "telephone_number": "707-762-8586",
            "fax_number": "707-762-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANG",
        "first_name": "NORMAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A61506",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A61506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

Verify at the official NPI Registry.