Individual provider Active NPI

Viet Trong Dao, M.D.

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1861406225
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A96409 Issued in CA
Practice address
4616 El Cajon Blvd Ste 9
San Diego, CA 92115-4426
Phone
(619) 583-0553
Fax
(619) 583-5702
NPI assigned
Jul 28, 2006
Last updated
Feb 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A96409 CA Primary

Addresses

Primary practice location

4616 El Cajon Blvd Ste 9
San Diego, CA 92115-4426

Mailing address

4616 El Cajon Blvd Ste 9
San Diego, CA 92115-4426
Phone (951) 303-8234

Other practice location 1

2363 Ulric St Ste B
San Diego, CA 92111-6447
Phone (858) 268-1747

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
I20070402000734 CA Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Emergency Medicine 0547364416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2363 Ulric St
Suite B
San Diego, CA 92111-6447
Phone (858) 268-1747

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A96409CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Viet Trong Dao MD a Professional Medical Corporation Family Medicine CurrentSince Jan 22, 2012 Accepting new patients
Ngoc Minh Pham MD & Suong My Tuong MD a Medical Corporation Family Medicine PastSince Jan 22, 2012 Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Emergency Medical Services Group Past Accepting new patients
Ton Duy Tran, MD Inc. Past Accepting new patients
Marina Doctors on Duty Past Accepting new patients
Santa Cruz Doctors on Duty Past Accepting new patients
San Joaquin Community Hospital Past Accepting new patients
El Centro Regional Medical Center Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients

Locations

2363 Ulric St
Ste B
San Diego, CA 92111
Phone (858) 268-1747

4616 El Cajon Blvd
Ste 9
San Diego, CA 92115
Phone (619) 280-4616

6255 University Ave
Ste A2
San Diego, CA 92115
Phone (619) 583-0553

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: daomedicalclinic@vtdma-ca.direct.office.nextgen.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1861406225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 EL CAJON BLVD STE 9",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154426",
            "telephone_number": "951-303-8234",
            "fax_number": "951-303-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 EL CAJON BLVD STE 9",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154426",
            "telephone_number": "619-583-0553",
            "fax_number": "619-583-5702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2363 Ulric St Ste B",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921116447",
            "country_code": "US",
            "telephone_number": "858-268-1747",
            "fax_number": "858-268-4172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAO",
        "first_name": "VIET",
        "middle_name": "TRONG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A96409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.