Individual provider Active NPI

Michael Chan Dam, MD

  • Cardiovascular Disease Physician
  • Orange, CA
National Provider Identifier
1376547000
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G75506 Issued in CA
Practice address
681 S Parker St
Ste 100
Orange, CA 92868-4719
Phone
(714) 445-0220
Fax
(714) 445-0246
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G75506 CA Primary

Addresses

Primary practice location

681 S Parker St
Ste 100
Orange, CA 92868-4719

Mailing address

3080 Bristol St
Ste 600
Costa Mesa, CA 92626-7341
Phone (714) 445-0228

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
I20111130000137 CA Practitioner - Cardiovascular Disease (Cardiology) 8820097322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of California, San Diego School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Cardiovascular Associates Medical Group, Inc.Group PAC ID 3678461209, 23 clinicians

Practice addresses (Care Compare)

681 S Parker St
Suite 100
Orange, CA 92868-4719
Phone (714) 445-0220

Hospital & facility affiliations

  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
83.2 of 100Reported as group
Quality
53.01
Promoting interoperability
87
Improvement activities
40
Cost
75.81

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Cardiovascular Associates Medical Group, Inc. CurrentSince Dec 1, 2000 Accepting new patients
University of California Irvine Past Accepting new patients
JFK Memorial Hospital, Inc. Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients

Locations

710 N Euclid St
Ste 214
Anaheim, CA 92801
Phone (714) 522-2891

3070 Bristol St
Ste 190
Costa Mesa, CA 92626
Phone (714) 445-0228

3070 Bristol St
Costa Mesa, CA 92626
Phone (714) 540-3838

3080 Bristol St
Ste 600
Costa Mesa, CA 92626
Phone 7144450228 ext. 8262

11180 Warner Ave
Ste 269
Fountain Vly, CA 92708
Phone (714) 486-1228

19066 Magnolia St
Huntington Beach, CA 92646
Phone (714) 378-2225

24022 Calle de la Plata
Ste 500
Laguna Hills, CA 92653
Phone (877) 430-7337

790 E Willow St
Ste 150
Long Beach, CA 90806
Phone (714) 445-0228

681 S Parker St
Ste 100
Orange, CA 92868
Phone 7144450228 ext. 8262

724 S El Camino Real
San Clemente, CA 92672
Phone (949) 453-4343

548 S Marine Corps Dr
Tamuning, GU 96913
Phone (671) 646-5824

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: michael.dam@direct.pca.nextgenshare.com

Organizations & group practices 9

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.

Hospital & facility affiliations 4

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1376547000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 BRISTOL ST",
            "address_2": "STE 600",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267341",
            "telephone_number": "714-445-0228",
            "fax_number": "714-445-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 S PARKER ST",
            "address_2": "STE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684719",
            "telephone_number": "714-445-0220",
            "fax_number": "714-445-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAM",
        "first_name": "MICHAEL",
        "middle_name": "CHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G75506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.