Organization Active NPI

Long Phi Dang, MD, Inc.

  • Gastroenterology Physician
  • Westminster, CA
National Provider Identifier
1467698118
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G80593 Issued in CA
Legal business name
LONG PHI DANG, MD, INC.
Practice address
7891 Westminster Blvd
Westminster, CA 92683-4043
Phone
(714) 839-9091
Fax
(714) 760-4008
NPI assigned
Dec 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Long Phi Dang, M.D.NPI 1346324613
Title
President
Phone
(714) 839-9091

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X G80593 CA Primary

Addresses

Primary practice location

7891 Westminster Blvd
Westminster, CA 92683-4043

Mailing address

7891 Westminster Blvd
Westminster, CA 92683-4043
Phone (714) 839-9091

Other identifiers 1

IdentifierTypeStateIssuer
00G805930MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040310000270 CA Part B Supplier - Clinic/Group Practice 4183512122 Receives reassigned benefits from 3 practitioners
Practice locations: Westminster, CA
O20240730000444 CA Part B Supplier - Independent Clinical Laboratory 4183512122 Practice locations: Westminster, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0969686Long Phi Dang MD Inc7891 Westminster Blvd, Westminster, CA 92683RegistrationJul 31, 2026

National Provider Directory

National Provider Directory

Locations

7891 Westminster Blvd
Westminster, CA 92683
Phone (714) 839-9091

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1230681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1467698118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7891 WESTMINSTER BLVD",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834043",
            "telephone_number": "714-839-9091",
            "fax_number": "714-760-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7891 WESTMINSTER BLVD",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834043",
            "telephone_number": "714-839-9091",
            "fax_number": "714-760-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG PHI DANG, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-31",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "LONG",
        "authorized_official_middle_name": "PHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-839-9091",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G80593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G805930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.