Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Saly Sisouvong, MD

Individual provider Internal Medicine Physician · NPI 1407040991

Saly Sisouvong, MD is an Internal Medicine in Oakland, California. Graduated from University of Hawaii John A. Burns School of Medicine in 2004, 22 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
22
Trained at
University of Hawaii John A. Burns School of Medicine
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

280 W Macarthur Blvd
Oakland, CA 94611-5642
Phone: (510) 752-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A 99507 (CA)

Record details

NPI number1407040991
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 28, 2007
Last updated in NPPESFebruary 11, 2022
Mailing address495 Townsend Dr, Benicia, CA 94510-3952

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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