Active NPI
Stanley NG, MD
- Internal Medicine Physician
- Pleasanton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A76047
- Practice address
- 5575 W Las Positas Blvd
#130
Pleasanton, CA 94588-5801 - Phone
- (925) 463-0590
- Fax
- (925) 847-9532
- NPI assigned
- Jul 26, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A76047 | CA | Primary |
Addresses
Primary practice location
5575 W Las Positas Blvd
#130
Pleasanton, CA 94588-5801
Mailing address
5575 W Las Positas Blvd
#130
Pleasanton, CA 94588-5801
Phone (925) 463-0590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A760470 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11030 Bollinger Canyon Rd
Suite 250
San Ramon, CA 94582-4874
Phone (925) 373-8000
4725 1St St
Suite 100
Pleasanton, CA 94566-7366
Phone (925) 462-7060
5568 Gibraltar Dr
Pleasanton, CA 94588-8544
Phone (888) 924-1036
Hospital & facility affiliations
- Stanford Health Care Tri-Valley
- Pleasanton Nursing and Rehabilitation Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Healthcare Alliance | Internal Medicine | Current | Accepting new patients |
| Loma Linda University Medical Center | Past | Accepting new patients | |
| Community Hospital of San Bernardino | Past | Accepting new patients | |
| Stanford Health Care Tri-Valley | Past | Accepting new patients | |
| Affinity Medical Group | Past | Accepting new patients | |
| Stanford Hospital and Clinics | Past | Accepting new patients | |
| The Hospital Committee for the Livermore-Pleasanton Areas | Past | Accepting new patients | |
| Tri-Valley Physicians | Internal Medicine | Past | Accepting new patients |
Locations
50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646
1133 E Stanley Blvd
Ste 203
Livermore, CA 94550
Phone (925) 373-4129
1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000
5568 Gibraltar Dr
Pleasanton, CA 94588
Phone (925) 534-6500
4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060
5575 W Las Positas Blvd
Ste 130
Pleasanton, CA 94588
Phone (925) 463-0395
5725 W Las Positas Blvd
Ste 110
Pleasanton, CA 94588
Phone (925) 416-6767
11030 Bollinger Canyon Rd
San Ramon, CA 94582
Interoperability endpoints
- sng146677@direct.stanfordhealthcare.org
Organizations & group practices 8
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.
-
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- Newark, CA
- NPI 1760531198
-
- Case Manager/Care Coordinator
- Foster City, CA
- NPI 1689708042
-
- Pediatric Skilled Nursing Facility
- San Bernardino, CA
- NPI 1851395685
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- General Acute Care Hospital
- Pleasanton, CA
- NPI 1144389941
-
- Clinical Medical Laboratory
- Palo Alto, CA
- NPI 1174698468
-
- Rehabilitation Hospital Unit
- Livermore, CA
- NPI 1427117233
-
- Internal Medicine Physician
- Pleasanton, CA
- NPI 1215017629
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pleasanton, CA
- NPI 1144389941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326844800000",
"number": "1942200548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5575 W LAS POSITAS BLVD",
"address_2": "#130",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945885801",
"telephone_number": "925-463-0590",
"fax_number": "925-847-9532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5575 W LAS POSITAS BLVD",
"address_2": "#130",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945885801",
"telephone_number": "925-463-0590",
"fax_number": "925-847-9532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NG",
"first_name": "STANLEY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-26",
"last_updated": "2012-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A76047",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A760470",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.