Individual provider Active NPI

Kevin Xunan, DO, MPH, CPH

  • Family Medicine Physician
  • Vacaville, CA
National Provider Identifier
1871029462
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A16401 Issued in CA
Practice address
421 Nut Tree Rd
Vacaville, CA 95687
Phone
(707) 624-7533
NPI assigned
May 3, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X OS14790 FL
Family Medicine Physician 207Q00000X 20A16401 CA Primary

Addresses

Primary practice location

421 Nut Tree Rd
Vacaville, CA 95687

Mailing address

161 N Civic Dr Apt 175
Walnut Creek, CA 94596-3904
Phone (510) 529-9840

Other practice location 1

7007 W Broward Blvd
Plantation, FL 33317
Phone (954) 791-3636

Other practice location 2

7007 W Broward Blvd
Plantation, FL 33317
Phone (954) 791-3636

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
I20190730000505 CA Practitioner - Family Practice 8224394069 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northbay Health Medical FoundationGroup PAC ID 3274010871, 207 clinicians

Practice addresses (Care Compare)

101 Main St
Winters, CA 95694-1930
Phone (707) 646-5500

421 Nut Tree Rd
Vacaville, CA 95687-3508
Phone (707) 624-7500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A16401CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northbay Healthcare Group Multi-Specialty CurrentSince Aug 1, 2019 Accepting new patients
Northbay Health Medical Foundation Multi-Specialty CurrentSince Jan 1, 2026 Accepting new patients
Northbay Healthcare Group Multi-Specialty CurrentSince Aug 1, 2019 Accepting new patients
Northbay Healthcare Group Multi-Specialty Current Accepting new patients
MD Now Medical Centers, Inc. PastSince Dec 5, 2021 Accepting new patients

Locations

2470 Hilborn Rd
Ste 100
Fairfield, CA 94534
Phone (707) 646-4600

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

421 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 455-3000

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

1010 Nut Tree Rd
Ste 100B
Vacaville, CA 95687
Phone (707) 646-7999

101 Main St
Winters, CA 95694
Phone (530) 795-4123

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1871029462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 N CIVIC DR APT 175",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963904",
            "telephone_number": "510-529-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 NUT TREE RD",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "95687",
            "telephone_number": "707-624-7533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7007 W Broward Blvd",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "33317",
            "country_code": "US",
            "telephone_number": "954-791-3636",
            "fax_number": "954-791-3130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7007 W Broward Blvd",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "33317",
            "country_code": "US",
            "telephone_number": "954-791-3636",
            "fax_number": "954-791-3130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XUNAN",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DO, MPH, CPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS14790",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A16401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.