Individual provider Active NPI

Minh Ngoc Dang, MD

  • General Practice Physician
  • Garden Grove, CA
National Provider Identifier
1235231333
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A32864 Issued in CA
Practice address
12302 Garden Grove Boulevard
Ste #7
Garden Grove, CA 92843-1835
Phone
(714) 537-4343
Fax
(714) 537-5543
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A32864 CA Primary

Addresses

Primary practice location

12302 Garden Grove Boulevard
Ste #7
Garden Grove, CA 92843-1835

Mailing address

12302 Garden Grove Boulevard
Ste #7
Garden Grove, CA 92843-1835
Phone (714) 537-4343

Other identifiers 1

IdentifierTypeStateIssuer
00A328641MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101230000871 CA Practitioner - General Practice 3971791245 Practice locations: Garden Grove, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A32864CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy Thien Tran MD Inc PastSince Sep 20, 2016 Accepting new patients
Anhthu Ngoc Nguyen MD Inc Past Accepting new patients

Organizations & group practices 2

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1235231333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12302 GARDEN GROVE BOULEVARD",
            "address_2": "STE #7",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431835",
            "telephone_number": "714-537-4343",
            "fax_number": "714-537-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12302 GARDEN GROVE BOULEVARD",
            "address_2": "STE #7",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431835",
            "telephone_number": "714-537-4343",
            "fax_number": "714-537-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "MINH",
        "middle_name": "NGOC",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A32864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A328641",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.