Diana Truc Dang, MD
Individual provider Active NPI Dermatology Physician · El Centro, CA
NPI 1194736074 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194736074
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- A81703 (CA)
- Practice address
- 718 S 4TH St
El Centro, CA 92243-3319 - Phone
- (760) 337-8500
- Fax
- (760) 337-8572
- NPI assigned
- Aug 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Dermatology
- Education
- Un of California, Irvine, College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anthony Huynh Medical Group Inc
Practice addresses (Care Compare)
1334 N Imperial Ave
El Centro, CA 92243-1313
Phone (760) 337-8500
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1036 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 123 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061219000383 | CA | Practitioner - Dermatology | 7618976796 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A81703 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Diego Dermatology and Cosmetic Surgery Medical Group, Inc. | Dermatology | Current | Accepting new patients |
| Anthony Huynh Medical Group,Inc | Dermatology | Current |
Accepting new patients |
Locations
1334 N Imperial Ave
El Centro, CA 92243
Phone (760) 337-8500
718 S 4th St
El Centro, CA 92243
Phone (760) 337-8500
Interoperability endpoints
- dianadangmd@elcentrodermatology.emadirect.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A81703 | CA | Yes |
Addresses
Primary practice location
718 S 4TH St
El Centro, CA 92243-3319
Mailing address
718 S 4TH St
El Centro, CA 92243-3319
Phone (760) 337-8500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A817030 | Medicaid | CA |
Other providers in El Centro, CA
- Diana Clarissa Curiel
- Cornelius Cuza
- Johnnie Rae Cyr
- Dacareinc
- Ernesto Dagdagan Jr.
- Daniel & Max, LLC
- Julian Daniel
- Amy Nguyen Dao
- Patrick H Dao
- Phan Hung Q Dao
All providers in El Centro, CA · Dermatology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.