Individual provider Active NPI

Tuan Dang, M.D

  • Internal Medicine Physician
  • San Pablo, CA
National Provider Identifier
1306059357
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A9331 Issued in CA
Practice address
2000 Vale Road
San Pablo, CA 94806
Phone
(510) 970-5140
NPI assigned
May 7, 2007
Last updated
Jan 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A9331 CA Primary

Addresses

Primary practice location

2000 Vale Road
San Pablo, CA 94806

Mailing address

2100 Powell Street
Ste 900
Emeryville, CA 94608
Phone (510) 350-2664

Other identifiers 1

IdentifierTypeStateIssuer
00AX93310MedicaidCA

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
I20071003000709 CA Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Osteopathic Manipulative Medicine 4486749512 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of San MateoGroup PAC ID 9032023171, shared by 15 NPIs, 316 clinicians
Quantum Healthcare Medical Associates IncGroup PAC ID 5294647574, 109 clinicians

Practice addresses (Care Compare)

222 W 39TH Ave
San Mateo, CA 94403-4364
Phone (650) 573-2222

300 Hospital Dr
Vallejo, CA 94589-2574
Phone (707) 554-4444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.61 of 100Reported as individual
Quality
55.21
Improvement activities
40
Cost
67.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A9331CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity Hospitalists PC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp Current Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp. Internal Medicine CurrentSince Apr 1, 2021 Accepting new patients
County of San Mateo CurrentSince Feb 15, 2018 Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine CurrentSince May 26, 2015 Accepting new patients
County of San Mateo CurrentSince Feb 15, 2018 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
Vituity Hospitalists PC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
County of San Mateo CurrentSince Feb 15, 2018 Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince Aug 1, 2014 Accepting new patients
Cep America - California Past Accepting new patients
Sports Medicine Grant, Inc Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

33 Mateo Ave
Millbrae, CA 94030
Phone (650) 583-8937

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Interoperability endpoints

  • Direct secure messaging: tdang113376@hisp.ehr.sutterhealth.org
  • Direct secure messaging: tdang19735@smch.direct-ci.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1306059357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL STREET",
            "address_2": "STE 900",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "94608",
            "telephone_number": "510-350-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 VALE ROAD",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "94806",
            "telephone_number": "510-970-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "TUAN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A9331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX93310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pablo, CA

Sources for this page

Verify at the official NPI Registry.