Active NPI
Bong Doan, M.D.
- Psychiatry Physician
- Westminster, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A45613
- Practice address
- 14140 Beach Blvd Ste 200
Westminster, CA 92683-4453 - Phone
- (714) 896-7566
- NPI assigned
- Apr 10, 2006
- Last updated
- Nov 1, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | A45613 | CA | |
| Psychiatry Physician | 2084P0800X | A45613 | CA | Primary |
Addresses
Primary practice location
14140 Beach Blvd Ste 200
Westminster, CA 92683-4453
Mailing address
14140 Beach Blvd Ste 200
Westminster, CA 92683-4453
Phone (714) 896-7566
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14140 Beach Blvd
Suite 223
Westminster, CA 92683-4453
Phone (714) 896-7566
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45613 | CA | MD | General Practice Dentistry |
| A45613 | CA | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Orange | Current | Accepting new patients | |
| County of Orange | Current | Accepting new patients | |
| South Coast Children's Society, Inc | Past | Accepting new patients | |
| County of Orange | Past | Accepting new patients | |
| South Coast Children's Society, Inc | Past | Accepting new patients |
Locations
23228 Madero
Mission Viejo, CA 92691
Phone (949) 454-3940
14140 Beach Blvd
Ste 223
Westminster, CA 92683
Phone (714) 896-7566
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 Health Care Agency
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Santa Ana, CA
- NPI 1104963347
-
dba CYS North Region
- Adolescent and Children Mental Health Clinic/Center
- Brea, CA
- NPI 1962549774
-
dba AMHS Westminster
- Adult Mental Health Clinic/Center
- Westminster, CA
- NPI 1649317116
-
dba Hope Healing Connection
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mission Viejo, CA
- NPI 1083503577
-
dba South Coast Community Services
- Community/Behavioral Health Agency
- Yucaipa, CA
- NPI 1962634956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1528021516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14140 BEACH BLVD STE 200",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926834453",
"telephone_number": "714-896-7566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14140 BEACH BLVD STE 200",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926834453",
"telephone_number": "714-896-7566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOAN",
"first_name": "BONG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2021-11-01",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "CA",
"license": "A45613",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A45613",
"primary": true
}
],
"identifiers": [],
"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, 2021; 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.
- 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.