Active NPI
Lam Duy Dang, M.D
- Family Medicine Physician
- Garden Grove, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A104109
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Medicine
- Education
- Loma Linda University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Providence St. Jude Medical Center
- Gordon Lane Care Center
- Bonita Hills Post Acute
- Bayshire Yorba Linda Post-Acute
- The Pavilion at Sunny Hills
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A104109 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Family Medicine | Current | Accepting new patients |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Family Medicine | Current | 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.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Fullerton, CA
- NPI 1073944450
Nursing home
-
- Home Health Agency
- Torrance, CA
- NPI 1760724231
-
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
- General Acute Care Hospital
- Brea, CA
- NPI 1891904942
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.