Individual provider Active NPI

Yen Doan, M.D.

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1295767010
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0A40613 Issued in CA
Practice address
1663 Beverly Blvd Ste 201
Los Angeles, CA 90026-5747
Phone
(213) 413-4845
Fax
(213) 413-1060
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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 0A40613 CA Primary

Addresses

Primary practice location

1663 Beverly Blvd Ste 201
Los Angeles, CA 90026-5747

Mailing address

1663 Beverly Blvd Ste 201
Los Angeles, CA 90026-5747
Phone (213) 413-4845

Other identifiers 1

IdentifierTypeStateIssuer
8662117MedicaidCA

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
I20061128000537 CA Practitioner - Family Practice 4486652583 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0A40613CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yen Doan MD., Inc. CurrentSince Nov 28, 2006 Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients

Locations

1663 Beverly Blvd
Ste 201
Los Angeles, CA 90026
Phone (213) 413-4845

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1295767010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 BEVERLY BLVD STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265747",
            "telephone_number": "213-413-4845",
            "fax_number": "213-413-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 BEVERLY BLVD STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265747",
            "telephone_number": "213-413-4845",
            "fax_number": "213-413-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "YEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "0A40613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8662117",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.