Individual provider Active NPI

Tuan Anthony Hoang-Xuan, D.O

  • Dermatology Physician
  • Chino, CA
National Provider Identifier
1760448302
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
20A7954 Issued in CA
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

Updated by the provider on Aug 20, 2007

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071019000600 CA Practitioner - Dermatology 5890881957 Reassigns benefits to 1 organization

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 100Reported as individual
Quality
100
Promoting interoperability
92
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions285
Removal of skin cancer53
Removal or shaving of skin growth73
Skin biopsy47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A7954CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Dermatology, Inc. Dermatology CurrentSince Sep 4, 2007 Accepting new patients

Locations

13768 Roswell Ave
Ste 102
Chino, CA 91710
Phone (909) 273-1352

Interoperability endpoints

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

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

Verify at the official NPI Registry.