Active NPI
Hoan Van, DPM
- Foot & Ankle Surgery Podiatrist
- San Jose, CA
National Provider Identifier
1629272380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E4709
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 7968 |
| Removal or shaving of skin growth | 292 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4709 | CA | MD | Foot & Ankle Surgery Podiatrist |
| 4709 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot & Ankle Care, Inc | Current | 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
- 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.
-
- Podiatrist
- San Jose, CA
- NPI 1639608896
-
dba Bay Area Community Health - Hope Project
- Federally Qualified Health Center (FQHC)
- Fremont, CA
- NPI 1942387188
-
- Assisted Living Facility (Mental Illness)
- San Martin, CA
- NPI 1306280839
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.