Individual provider Active NPI

Lam Duy Dang, M.D

  • Family Medicine Physician
  • Garden Grove, CA
National Provider Identifier
1861662553
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A104109 Issued in CA
Practice address
10141 Westminster Ave
Suite E
Garden Grove, CA 92843-4752
Phone
(714) 467-4321
Fax
(714) 467-4311
NPI assigned
Mar 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 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 A104109 CA Primary

Addresses

Primary practice location

10141 Westminster Ave
Suite E
Garden Grove, CA 92843-4752

Mailing address

10141 Westminster Ave
Suite E
Garden Grove, CA 92843-4752
Phone (714) 467-4321

Other practice location 1

101 E Valencia Mesa Dr
Fullerton, CA 92835-3809
Phone (714) 992-3000

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
I20100315000059 CA Practitioner - Geriatric MedicinePractitioner - Family Practice 4688709843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
Loma Linda University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350

200 W Ctr St Promenade
Anaheim, CA 92805-3960

Hospital & facility affiliations

  • Omnicare Home Health, Inc Home health agency, Torrance, CA, CCN 059688
  • Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168
  • Gordon Lane Care Center Nursing home, Fullerton, CA, CCN 555797
  • Bonita Hills Post Acute Nursing home, La Habra, CA, CCN 055622
  • Bayshire Yorba Linda Post-Acute Nursing home, Yorba Linda, CA, CCN 555768
  • The Pavilion at Sunny Hills Nursing home, Fullerton, CA, CCN 555733

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A104109CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Family Medicine Current Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Apr 16, 2012 Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

1514 Valley Vista Dr
Diamond Bar, CA 91765
Phone (909) 560-1144

101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1861662553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10141 WESTMINSTER AVE",
            "address_2": "SUITE E",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434752",
            "telephone_number": "714-467-4321",
            "fax_number": "714-467-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10141 WESTMINSTER AVE",
            "address_2": "SUITE E",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434752",
            "telephone_number": "714-467-4321",
            "fax_number": "714-467-4311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E Valencia Mesa Dr",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928353809",
            "country_code": "US",
            "telephone_number": "714-992-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANG",
        "first_name": "LAM",
        "middle_name": "DUY",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-10",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A104109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.