Active NPI
Dat T Hoang, MD
- General Practice Physician
- Garden Grove, CA
National Provider Identifier
1407141211
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(14) exclusion effective Jul 20, 2016.
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A89070
- Practice address
- 12665 Garden Grove Blvd
Suite 309
Garden Grove, CA 92843-1901 - Phone
- (714) 539-0290
- NPI assigned
- Jun 9, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A89070 | CA | Primary |
Addresses
Primary practice location
12665 Garden Grove Blvd
Suite 309
Garden Grove, CA 92843-1901
Mailing address
1424 E Florida PL
Anaheim, CA 92805-5427
Phone (714) 855-9445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A89070 | CA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333670400000",
"number": "1407141211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 E FLORIDA PL",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928055427",
"telephone_number": "714-855-9445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12665 GARDEN GROVE BLVD",
"address_2": "SUITE 309",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928431901",
"telephone_number": "714-539-0290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOANG",
"first_name": "DAT",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-09",
"last_updated": "2012-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A89070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.