Individual provider Active NPI

Vien D Doan, D.O.

  • Family Medicine Physician
  • Riverside, CA
National Provider Identifier
1720017148
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A5276 Issued in CA
Practice address
4343 Market St
Suite D
Riverside, CA 92501-3517
Phone
(951) 784-7406
Fax
(951) 784-7409
NPI assigned
Jun 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A5276 CA Primary

Addresses

Primary practice location

4343 Market St
Suite D
Riverside, CA 92501-3517

Mailing address

4343 Market St
Suite D
Riverside, CA 92501-3517
Phone (951) 784-7406

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050725001160 CA Practitioner - Family Practice 0547297178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Samaritan Medical Group IncGroup PAC ID 5799224226, 3 clinicians

Practice addresses (Care Compare)

4343 Market St
Suite C
Riverside, CA 92501-3567
Phone (951) 784-7406

4343 Market St C
Riverside, CA 92501-3567

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A5276CAMDFamily Medicine Physician
5276CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Medical Group Inc. Family Medicine CurrentSince Jul 25, 2024 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients

Locations

4343 Market St
Ste C
Riverside, CA 92501
Phone (951) 248-0485

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACFJCD/Endpoint/ACFJCD

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720017148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 MARKET ST",
            "address_2": "SUITE D",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013517",
            "telephone_number": "951-784-7406",
            "fax_number": "951-784-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 MARKET ST",
            "address_2": "SUITE D",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013517",
            "telephone_number": "951-784-7406",
            "fax_number": "951-784-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "VIEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.