Active NPI
Tanya Hoa Dam, DO
- Gastroenterology Physician
- Modesto, CA
National Provider Identifier
1104105030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 20A12410
- Practice address
- 1541 Florida Ave
Suite 200
Modesto, CA 95350-4429 - Phone
- (209) 577-3388
- NPI assigned
- Aug 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 20A12410 | CA | Primary |
Addresses
Primary practice location
1541 Florida Ave
Suite 200
Modesto, CA 95350-4429
Mailing address
3055 Floyd Ave
D-116
Modesto, CA 95355-7923
Phone (408) 375-4998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1541 Florida Ave
Suite 200
Modesto, CA 95350-4438
Phone (209) 577-3388
Hospital & facility affiliations
- Doctors Medical Center
- Memorial Medical Center
- Adventist Health Sonora
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.26 of 100
- Quality
- 66.64
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 189 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 259 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12410 | CA | MD | Acupuncturist |
| 20A12410 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Physician Partners | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| Advanced Medical Care P.a. | Past | Accepting new patients |
Locations
1234 E North St
Ste 103
Manteca, CA 95336
Phone (209) 647-3101
1541 Florida Ave
Ste 200
Modesto, CA 95350
Phone (209) 214-7053
1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839
1541 Florida Ave
Modesto, CA 95350
Phone (209) 214-7049
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- tanya.dam.1@14035.direct.athenahealth.com
- tdam345775@hisp.ehr.sutterhealth.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurological Surgery Physician
- Modesto, CA
- NPI 1104183052
-
- Internal Medicine Physician
- Modesto, CA
- NPI 1912264862
-
- Ophthalmology Physician
- El Monte, CA
- NPI 1912732892
-
- Internal Medicine Physician
- Corpus Christi, TX
- NPI 1033150750
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1184654923
-
- General Acute Care Hospital
- Sonora, CA
- NPI 1780673376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1104105030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3055 FLOYD AVE",
"address_2": "D-116",
"city": "MODESTO",
"state": "CA",
"postal_code": "953557923",
"telephone_number": "408-375-4998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1541 FLORIDA AVE",
"address_2": "SUITE 200",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504429",
"telephone_number": "209-577-3388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAM",
"first_name": "TANYA",
"middle_name": "HOA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-09",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "20A12410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.