Provider Demographics
NPI:1033356969
Name:NG, AMY (NP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:NG
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1171 MISSION ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-1519
Mailing Address - Country:US
Mailing Address - Phone:628-754-9600
Mailing Address - Fax:628-754-9603
Practice Address - Street 1:1171 MISSION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-1519
Practice Address - Country:US
Practice Address - Phone:628-754-9600
Practice Address - Fax:628-754-9603
Is Sole Proprietor?:No
Enumeration Date:2009-01-14
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA238151041C0700X
CA22245363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical