NPIMap

Individual provider Active NPI

Nang Lok Ellick Tsang, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1992873723
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
CA A053928 Issued in CA
Practice address
3085 24TH St
Ste 203
San Francisco, CA 94110-4153
Phone
(415) 648-5900
Fax
(650) 491-7735
NPI assigned
Dec 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X CA A053928 CA Primary

Addresses

Primary practice location

3085 24TH St
Ste 203
San Francisco, CA 94110-4153

Mailing address

3055 26TH Ave
San Francisco, CA 94132-1545
Phone (415) 648-5900

Other identifiers 1

IdentifierTypeStateIssuer
00A539280MedicaidCA

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
I20090501000398 CA Practitioner - Internal Medicine 5698823540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1800 Sullivan Ave
Suite 304
Daly City, CA 94015-2223
Phone (650) 992-8484

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CA A053928CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ellick Tsang M D Corporation Internal Medicine CurrentSince Feb 1, 1995 Accepting new patients

Locations

1800 Sullivan Ave
Rm 304
Daly City, CA 94015
Phone (650) 992-5100

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992873723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 26TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321545",
            "telephone_number": "415-648-5900",
            "fax_number": "650-491-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 24TH ST",
            "address_2": "STE 203",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104153",
            "telephone_number": "415-648-5900",
            "fax_number": "650-491-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSANG",
        "first_name": "NANG LOK ELLICK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "CA A053928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A539280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.