Nam Si Dong, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A36978 Issued in CA

Practice address

14082 Magnolia St Ste 111
Westminster, CA 92683-4764

Phone

(714) 898-0424

Fax

(714) 459-7325

NPI assigned

Sep 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Nam Si Dong, M.D.,Inc.

  • Pediatrics Physician
  • Westminster, CA
  • NPI 1609117530
  NPD (past) Authorized official

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1508968223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14082 MAGNOLIA ST STE 111",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834764",
            "telephone_number": "714-898-0424",
            "fax_number": "714-459-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14082 MAGNOLIA ST STE 111",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834764",
            "telephone_number": "714-898-0424",
            "fax_number": "714-459-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONG",
        "first_name": "NAM",
        "middle_name": "SI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A36978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yen Doan, PHARMD
• Eric Arie Tobias Doelitzsch, DMD, MPH
• Charlene Dohanh
• Dominic DO DDS, Inc
• Lee Ann Donaldson, L.M.F.T.
• Douglas Nguyen, DDS, a Professional Corporation
• Sarah Elizabeth Douglas
• Dr Barbara a Smith, MD, Apc
• Dr. Junlan Ding
• Dr. Sam C. Morcos Prof Dental Corp

• Pediatrics Physician in Westminster, CA
• Providers in Westminster, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.

Verify at the official NPI Registry.