Pacific Coast Dermatology, Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

20A7954 Issued in CA

Legal business name

PACIFIC COAST DERMATOLOGY, INC.

Practice address

13768 Roswell Ave
Suite 102
Chino, CA 91710-1401

Phone

(909) 364-1959

Fax

(909) 752-4171

NPI assigned

Aug 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tuan Anthony Hoang-Xuan, D.ONPI 1760448302

Title

Ceo

Phone

(909) 364-1959

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DCBHCD
• FHIR API: https://fhir4.healow.com/fhir/r4/FJFGAA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tuan Anthony Hoang-Xuan, D.O

  • Dermatology Physician
  • Chino, CA
  • NPI 1760448302
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1750574075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE",
            "address_2": "SUITE 102",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101401",
            "telephone_number": "909-364-1959",
            "fax_number": "909-752-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE",
            "address_2": "SUITE 102",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101401",
            "telephone_number": "909-364-1959",
            "fax_number": "909-752-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST DERMATOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "HOANG-XUAN",
        "authorized_official_first_name": "TUAN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-364-1959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A7954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jenny Ov, MD
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• Pacific Empire Chiropractic a Professional Chiropractic Corporation (Pacific Empire Chiropractic a Professional Corporation)
• Pacific Empire Physical Medicine and Healthcare Inc
• Carlos Padilla
• Karla Padilla
• Cynthia L Page, RN

• Dermatology Physician in Chino, CA
• Providers in Chino, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.