Tuan A Doan, MD
Individual provider Active NPI Family Medicine Physician · Williams, CA
NPI 1831200526 · NPPES record last updated Nov 5, 2024
Key facts
- NPI
- 1831200526
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- G77825 (CA)
- Practice address
- 501 E St
Williams, CA 95987-5810 - Phone
- (530) 619-0393
- Fax
- (916) 244-0813
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.75 of 100
- Quality
- 72.57
- Promoting interoperability
- 100
- Improvement activities
- 20
- Cost
- 59.58
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040622000518 | CA | Practitioner - Family Practice | 9931184116 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77825 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| G77825 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crescent Wound Care Inc | Current |
Accepting new patients | |
| Med-7 Urgent Care Center Medical Group | Current |
Accepting new patients | |
| Daiya Healthcare PLLC | Current |
Accepting new patients | |
| Cardiac Monitoring Services, LLC | Current |
Accepting new patients | |
| Crescent Wound Care Inc | Family Medicine | Current |
Accepting new patients |
| Sutter North Medical Foundation | Past |
Accepting new patients |
Locations
4156 Manzanita Ave
Ste 100
Carmichael, CA 95608
Phone (916) 483-5400
442 Sunset Blvd
Cherryland, CA 94541
Phone (510) 582-8311
5580 La Jolla Blvd
La Jolla, CA 92037
Phone (619) 438-4119
1310 W Granger Ave
Modesto, CA 95350
Phone (209) 473-3896
701 Sunrise Ave
Roseville, CA 95661
Phone (916) 483-5400
5201 Norris Canyon Rd
San Ramon, CA 94583
Phone (206) 426-2584
1630 N Edison St
Stockton, CA 95204
Phone (209) 948-8762
2215 Oakmont Way
West Sacramento, CA 95691
Phone (916) 371-1890
Interoperability endpoints
- tdoan224933@hpmg.direct-ci.net
- tuan.doan.1@19854.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G77825 | CA | Yes |
Addresses
Primary practice location
501 E St
Williams, CA 95987-5810
Mailing address
1230 Sunset Blvd Ste 400
Rocklin, CA 95765-3781
Phone (916) 872-1818
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G778250 | Medicaid | CA | |
| 1831200526 | Other | CA | NORIDIAN |
Other providers in Williams, CA
- Chapa-de Indian Health Program
- Charles E McCarl MD
- Colusa Medical Center, LLC
- Heather Lea Covarrubias
- Julia Rose Davison
- Dr. Yvan Quintana DDS Inc.
- Fouch & Son Pharmacy
- Jennifer Jasmine Franco
- Jared D Garrison DO Inc
- Latino Heatlh Care Group
All providers in Williams, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.