MEDICARE: STEPHEN NG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081P0004X	Spinal Cord Injury Medicine Physician	A65489	CA
2	2081P0301X	Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician	A65489	CA
3	208100000X	Physical Medicine & Rehabilitation Physician	A65489	CA

General Provider Information

NPI Number	:	1336230432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN NG MD

Provider Business Mailing Address
First Line	:	PO BOX 7759
Second Line	:
City	:	COTATI
State	:	CA
Zip	:	94931-1046
Country	:	US
Telephone Number	:	415-686-1145
Fax Number	:

Provider Business Practice Location Address
First Line	:	45 CASTRO ST
Second Line	:	SUITE 200
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-1010
Country	:	US
Telephone Number	:	415-600-7710
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	12/01/2025

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