Individual provider Active NPI

Steven P Doan, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Pasadena, CA
National Provider Identifier
1366516478
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
A75950 Issued in CA
Practice address
625 S Fair Oaks Ave Ste 245
Pasadena, CA 91105-2665
Phone
(626) 229-9865
Fax
(626) 229-9867
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A75950 CA Primary

Addresses

Primary practice location

625 S Fair Oaks Ave Ste 245
Pasadena, CA 91105-2665

Mailing address

625 S Fair Oaks Ave Ste 245
Pasadena, CA 91105-2665
Phone (626) 229-9865

Other identifiers 2

IdentifierTypeStateIssuer
1366516478MedicaidCA
A75950OtherCALICENSE NUMBER

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
I20070511000268 CA Practitioner - Geriatric MedicinePractitioner - Internal Medicine 5890891683 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Nov 27, 2017 Accepting new patients
Huntington Geriatric Medical Group CurrentSince Feb 1, 2012 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Nov 27, 2017 Accepting new patients
Sunrise Medical Group of Imperial Valley CurrentSince May 14, 2021 Accepting new patients
Cindy Alberts Carson MD Inc PastSince Jan 1, 2010 Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

5353 G St
Chino, CA 91710
Phone (626) 335-1919

1671 W Main St
Ste B
El Centro, CA 92243
Phone (442) 271-4050

4910 Airport Plaza Dr
Ste 100
Long Beach, CA 90815
Phone (562) 429-2473

2100 E Colorado Blvd
Ste 1
Pasadena, CA 91107
Phone (626) 229-9865

Organizations & group practices 6

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1366516478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S FAIR OAKS AVE STE 245",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052665",
            "telephone_number": "626-229-9865",
            "fax_number": "626-229-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S FAIR OAKS AVE STE 245",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052665",
            "telephone_number": "626-229-9865",
            "fax_number": "626-229-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "STEVEN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A75950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366516478",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "A75950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.