Individual provider Active NPI

Brian Doan, NP-C

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1538835327
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95014077 Issued in CA
Practice address
390 Laurel St Ste 207
San Francisco, CA 94118-1953
Phone
(415) 852-4699
NPI assigned
Aug 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95014077 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

390 Laurel St Ste 207
San Francisco, CA 94118-1953

Mailing address

111 Yorkshire CT
San Bruno, CA 94066-3728

Other practice location 1

111 Yorkshire Ct
San Bruno, CA 94066-3728
Phone (650) 243-8593

Other practice location 2

3100 Telegraph Ave Fl 1
Oakland, CA 94609-3239
Phone (510) 879-9100

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

State licenses

LicenseStateTypeSpecialty
95014077CAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: brian.doan@13475020865540.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1538835327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 YORKSHIRE CT",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940663728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 LAUREL ST STE 207",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181953",
            "telephone_number": "415-852-4699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Yorkshire Ct",
            "address_purpose": "LOCATION",
            "city": "San Bruno",
            "state": "CA",
            "postal_code": "940663728",
            "country_code": "US",
            "telephone_number": "650-243-8593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Telegraph Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946093239",
            "country_code": "US",
            "telephone_number": "510-879-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOAN",
        "first_name": "BRIAN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-20",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014077",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.