Individual provider Active NPI

Chuc Dang, DPM

  • Foot & Ankle Surgery Podiatrist
  • Westminster, CA
National Provider Identifier
1669436879
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E3475 Issued in CA
Practice address
15444 Brookhurst St
Westminster, CA 92683-7057
Phone
(714) 775-5373
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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 E3475 CA Primary

Addresses

Primary practice location

15444 Brookhurst St
Westminster, CA 92683-7057

Mailing address

15444 Brookhurst St
Westminster, CA 92683-7057
Phone (714) 775-5373

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
I20101004001394 CA Practitioner - Podiatry 1850401100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15444 Brookhurst St
Westminster, CA 92683-7057

18821 Delaware St
Suite 101
Huntington Beach, CA 92648-1935
Phone (657) 329-0074

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue102
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3475CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Chuc B. Dang, DPM, Inc. Foot & Ankle Surgery CurrentSince Dec 31, 2007 Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients
Hung Q. Le MD Inc PastSince May 28, 2023 Accepting new patients

Locations

18821 Delaware St
Ste 101
Huntington Beach, CA 92648
Phone (657) 329-0074

15444 Brookhurst St
Westminster, CA 92683
Phone (714) 400-8396

15444 Brookhurst St
Ste 103
Westminster, CA 92683

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1669436879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15444 BROOKHURST ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837057",
            "telephone_number": "714-775-5373",
            "fax_number": "714-775-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15444 BROOKHURST ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837057",
            "telephone_number": "714-775-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "CHUC",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.