Individual provider Active NPI

Tuong Huu Huy Doan, NP

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1124833702
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95028256 Issued in CA
Practice address
4440 Euclid Ave Ste a
San Diego, CA 92115-4522
Phone
(619) 521-6812
NPI assigned
Feb 11, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95028256 CA Primary

Addresses

Primary practice location

4440 Euclid Ave Ste a
San Diego, CA 92115-4522

Mailing address

8655 Cetus Rd
San Diego, CA 92126-1307
Phone (858) 335-4075

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251203003800 CA Practitioner - Nurse Practitioner 0941793319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8655 Cetus Rd
San Diego, CA 92126-1307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95028256CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charles N Le Medical Alliance CurrentSince Nov 19, 2025 Accepting new patients

Locations

4440 Euclid Ave
Ste A
San Diego, CA 92115
Phone (619) 280-3200

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1124833702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8655 CETUS RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921261307",
            "telephone_number": "858-335-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 EUCLID AVE STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154522",
            "telephone_number": "619-521-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "TUONG",
        "middle_name": "HUU HUY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.