Healthcare Provider Details

I. General information

NPI: 1902749294
Provider Name (Legal Business Name): NTSAUM STEVE VANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2026
Last Update Date: 04/11/2026
Certification Date: 04/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2480 SONOMA ST
REDDING CA
96001-3027
US

IV. Provider business mailing address

8268 CONFETTI CT
ELK GROVE CA
95624-4567
US

V. Phone/Fax

Practice location:
  • Phone: 530-225-7800
  • Fax:
Mailing address:
  • Phone: 916-896-6589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: