Trach P. Dang M.D., Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

TRACH P. DANG M.D., INC

Practice address

2114 Senter Rd Ste 24
San Jose, CA 95112-2608

Phone

(408) 293-2188

Fax

(408) 292-5367

NPI assigned

May 2, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thanh Nguyet La

Title

Medical Assistant

Phone

(408) 829-0655

Specialties & licenses 1

Addresses

Other names 1

• SENTER MEDICAL OFFICE Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trach Phuong Dang, M.D.

  • Legal Medicine
  • San Jose, CA
  • NPI 1215959796
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1104481340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 SENTER RD STE 24",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951122608",
            "telephone_number": "408-293-2188",
            "fax_number": "408-292-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 SENTER RD STE 24",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951122608",
            "telephone_number": "408-293-2188",
            "fax_number": "408-292-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACH P. DANG M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "LA",
        "authorized_official_first_name": "THANH",
        "authorized_official_middle_name": "NGUYET",
        "authorized_official_title_or_position": "MEDICAL ASSISTANT",
        "authorized_official_telephone_number": "408-829-0655"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SENTER MEDICAL OFFICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Krystan Marie Townsend
• Myriam A. Townsend, MD
• Nadia Townsend, M.A., CCC-SLP
• Leslie Toy
• Brian Dean Toyota, MD
• Tracy Filler, DMD, Inc.
• Tracy Filler, DMD, Inc.
• Kily Tracy, D.C.
• Sandra Trafalis, PHD
• Mark Traffas, PT

• Primary Care Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.