Individual provider Active NPI

Adam Hien Minh Dao, MD

  • Cornea and External Diseases Specialist Physician
  • San Diego, CA
National Provider Identifier
1770870446
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
A136640 Issued in CA
Practice address
3555 Rosecrans St Ste 107B
San Diego, CA 92110-3232
Phone
(619) 226-1877
Fax
(619) 226-0482
NPI assigned
Jul 1, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist Physician 207WX0120X A136640 CA Primary
Ophthalmology Physician 207W00000X A136640 CA

Addresses

Primary practice location

3555 Rosecrans St Ste 107B
San Diego, CA 92110-3232

Mailing address

3555 Rosecrans St Ste 107B
San Diego, CA 92110-3232
Phone (619) 226-1877

Other identifiers 1

IdentifierTypeStateIssuer
1770870446MedicaidCA

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
I20150730013939 CA Practitioner - Ophthalmology 4880818475 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical School at Houston, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mosaic Eye Specialists PCGroup PAC ID 7517253701, 2 clinicians

Practice addresses (Care Compare)

3555 Rosecrans St
Suite 107B
San Diego, CA 92110-3232
Phone (619) 226-1877

Merit-based Incentive Payment System (MIPS)

Final score
75.56 of 100Reported as individual
Quality
64.3
Promoting interoperability
84
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
136640CAMDMarriage & Family Therapist
A136640CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Dec 30, 2016 Accepting new patients
Sharp Memorial Hospital Past Accepting new patients

Locations

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

3405 Kenyon St
Ste 513
San Diego, CA 92110
Phone (619) 226-1877

Organizations & group practices 3

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": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1770870446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 ROSECRANS ST STE 107B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103232",
            "telephone_number": "619-226-1877",
            "fax_number": "619-226-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 ROSECRANS ST STE 107B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103232",
            "telephone_number": "619-226-1877",
            "fax_number": "619-226-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAO",
        "first_name": "ADAM",
        "middle_name": "HIEN MINH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-01",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "CA",
            "license": "A136640",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A136640",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770870446",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.