Crystal Thanh Doan Stephens, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

152267 Issued in CA

Practice address

4305 University Ave Ste 150
San Diego, CA 92105-1690

Phone

(619) 280-2058

NPI assigned

Feb 7, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Crystal Thanh Doan Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

{
    "created_epoch": "1423267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1730570144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 UNIVERSITY AVE STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051690",
            "telephone_number": "619-280-2058",
            "fax_number": "858-633-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 UNIVERSITY AVE STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051690",
            "telephone_number": "619-280-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN STEPHENS",
        "first_name": "CRYSTAL",
        "middle_name": "THANH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-07",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "152267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "DOAN",
            "middle_name": "THANH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thuy-Phuong DO, PSY.D.
• Toan DO
• Van DO, PHARMD
• Veena Minh DO, MD
• Doan Doan and Tran Dental PC
• Anastasia Doan, ATC
• Christine Doan, PA
• Christopher Doan, NP
• Dai Doan, BCBA
• Dora Doan, O.D.

• Pediatrics Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.