Individual provider Active NPI

Hoan Van, DPM

  • Foot & Ankle Surgery Podiatrist
  • San Jose, CA
National Provider Identifier
1629272380
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4709 Issued in CA
Practice address
2114 Senter Rd Ste 14
San Jose, CA 95112-2608
Phone
(408) 298-8187
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4709 CA Primary

Addresses

Primary practice location

2114 Senter Rd Ste 14
San Jose, CA 95112-2608

Mailing address

100 Oconnor Dr Ste 9a
San Jose, CA 95128-1638
Phone (408) 947-7174

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171023001650 CA Practitioner - Podiatry 1456447713 Practice locations: Gilroy, CA; Sunnyvale, CA; Stockton, CA; San Martin, CA; San Jose, CA; Salinas, CA; Redwood City, CA; Pacific Grove, CA…

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1755 W Hammer LN
Suite 7B
Stockton, CA 95209-2900
Phone (209) 474-8020

315 Alameda Ave
Salinas, CA 93901-4120
Phone (831) 424-1878

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue7968
Removal or shaving of skin growth292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4709CAMDFoot & Ankle Surgery Podiatrist
4709CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Care, Inc CurrentSince Jan 1, 1990 Accepting new patients
Bay Area Community Health Past Accepting new patients
Camarda Foot Clinic, Inc. Foot & Ankle Surgery Past Accepting new patients
Craig Anthony Lenz Past Accepting new patients
South County Retirement Home Past Accepting new patients

Locations

100 Oconnor Dr
Ste 9A
San Jose, CA 95128
Phone (408) 294-2399

Interoperability endpoints

  • Direct secure messaging: hvan330553@direct.ochin.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1629272380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OCONNOR DR STE 9A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281638",
            "telephone_number": "408-947-7174",
            "fax_number": "408-947-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 SENTER RD STE 14",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951122608",
            "telephone_number": "408-298-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN",
        "first_name": "HOAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.