Minh Ngoc O Dang, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A061331 Issued in CA

Practice address

6155 Stoneridge Dr
150
Pleasanton, CA 94588-3204

Phone

(925) 251-9012

Fax

(925) 251-9013

NPI assigned

Jan 18, 2006

Last updated

Dec 16, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Specialty

Dermatology

Education

Temple University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Golden State Dermatology Associates, Inc.Group PAC ID 1052418175, 118 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.15 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Golden State Dermatology Associates Inc

  • Dermatology Physician
  • Walnut Creek, CA
  • NPI 1700860871
  Medicare reassignment Care Compare group NPD
• Minh Dang M.D. Inc.

  • Procedural Dermatology Physician
  • Pleasanton, CA
  • NPI 1154586543
  Authorized official Same address or phone
• Golden State Dermatology Associates, Inc.

  • Ambulatory Surgical Clinic/Center
  • Fresno, CA
  • NPI 1235738576
  NPD
• California Skin Institute, a Medical Corporation

  • Dermatology Physician
  • Mountain View, CA
  • NPI 1154527901
  NPD (past)
• Dermatology Affiliates Medical Group a Professional Corporation

  • Specialist
  • Modesto, CA
  • NPI 1558364869
  NPD (past)
• Pacific Dermatology Medical Associates, Inc

  dba Quail Lakes Dermatology

  • Dermatology Physician
  • Stockton, CA
  • NPI 1710025994
  NPD (past)
• Quail Lakes Dermatology Medical Associates, Inc.

  • Specialist
  • Stockton, CA
  • NPI 1275536872
  NPD (past)
• San Ramon Regional Medical Center, LLC

  • General Acute Care Hospital
  • San Ramon, CA
  • NPI 1932131489
  NPD (past)
• Stanford Health Care Tri-Valley

  • General Acute Care Hospital
  • Pleasanton, CA
  • NPI 1144389941
  NPD (past)
• Stanford Hospital and Clinics

  dba SHC Reference Laboratory

  • Clinical Medical Laboratory
  • Palo Alto, CA
  • NPI 1174698468
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1629058441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6155 STONERIDGE DR",
            "address_2": "150",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883204",
            "telephone_number": "925-251-9012",
            "fax_number": "925-251-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6155 STONERIDGE DR",
            "address_2": "150",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883204",
            "telephone_number": "925-251-9012",
            "fax_number": "925-251-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "MINH",
        "middle_name": "NGOC O",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A61331",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A061331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pushpa P Dalal, MD
• Tulasi Dalal
• Drew Michael Danchisin, D.C.
• Anhkhoa Merick Dang, DC
• Chau Van Dang, MD
• Jill Daniels, MS, RD, CSSD
• Madison Daniels
• Shireen Danishwar, D.C.
• Joshua Dano
• VI Khanh Dao, DDS

• Dermatology Physician in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.

Verify at the official NPI Registry.