Active NPI
Tuan Anthony Hoang-Xuan, D.O
- Dermatology Physician
- Chino, CA
National Provider Identifier
1760448302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 20A7954
- Practice address
- 13768 Roswell Ave
Suite 102
Chino, CA 91710-1401 - Phone
- (909) 364-1959
- Fax
- (909) 752-4171
- NPI assigned
- Apr 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 20A7954 | CA | Primary |
| Procedural Dermatology Physician | 207NS0135X | 20A7954 | CA | |
| Pediatric Dermatology Physician | 207NP0225X | 20A7954 | CA | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 20A7954 | CA |
Addresses
Primary practice location
13768 Roswell Ave
Suite 102
Chino, CA 91710-1401
Mailing address
13768 Roswell Ave
Suite 102
Chino, CA 91710-1401
Phone (909) 364-1959
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Western University of Health Sciences College of Dental Med, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13768 Roswell Ave
Suite 102
Chino, CA 91710-1401
Phone (909) 364-1959
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.6 of 100
- Quality
- 100
- Promoting interoperability
- 92
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 285 |
| Removal of skin cancer | 53 |
| Removal or shaving of skin growth | 73 |
| Skin biopsy | 47 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A7954 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Coast Dermatology, Inc. | Dermatology | Current | Accepting new patients |
Locations
13768 Roswell Ave
Ste 102
Chino, CA 91710
Phone (909) 273-1352
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DCBHCD
- https://fhir4.healow.com/fhir/r4/FJFGAA
- https://fhir4.healow.com/fhir/r4/FJFGAA/Endpoint/FJFGAA
Organizations & group practices 1
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.
-
- Dermatology Physician
- Chino, CA
- NPI 1750574075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1760448302",
"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": {
"last_name": "HOANG-XUAN",
"first_name": "TUAN",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-22",
"last_updated": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "20A7954",
"primary": true
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "CA",
"license": "20A7954",
"primary": false
},
{
"code": "207NP0225X",
"taxonomy_group": "",
"desc": "Dermatology, Pediatric Dermatology",
"state": "CA",
"license": "20A7954",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "CA",
"license": "20A7954",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.