Active NPI
Ngan Nhu Doan
- Gerontology Nurse Practitioner
- Costa Mesa, CA
National Provider Identifier
1497931125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 95012646
- Practice address
- 2995 Red Hill Ave Ste 200
Costa Mesa, CA 92626-5984 - Phone
- (949) 279-6519
- NPI assigned
- Jan 11, 2008
- Last updated
- Jan 24, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 95012646 | CA | Primary |
Addresses
Primary practice location
2995 Red Hill Ave Ste 200
Costa Mesa, CA 92626-5984
Mailing address
507 S Euclid St SPC 10
Santa Ana, CA 92704-1068
Phone (714) 423-4031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10D0539932 | Other | CA | MSI |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95012646 | CA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Medical Clinic, Inc | Current | Accepting new patients | |
| Riverside Medical Clinic, Inc | Current | Accepting new patients | |
| Riverside Medical Clinic, Inc | Current | Accepting new patients | |
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients | |
| Hoag Hospital | Past | Accepting new patients |
Locations
3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789
Organizations & group practices 5
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.
-
dba Riverside Medical Clinic
- Dermatology Physician
- Riverside, CA
- NPI 1720183403
-
dba Riverside Medical Clinic
- Internal Medicine Physician
- Riverside, CA
- NPI 1730180415
-
dba Riverside Medical Clinic
- Internal Medicine Physician
- Riverside, CA
- NPI 1871902452
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1689864365
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1497931125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 S EUCLID ST SPC 10",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927041068",
"telephone_number": "714-423-4031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2995 RED HILL AVE STE 200",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926265984",
"telephone_number": "949-279-6519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOAN",
"first_name": "NGAN",
"middle_name": "NHU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-11",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CA",
"license": "95012646",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MSI",
"identifier": "10D0539932",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.