Active NPI
Connie Dang
- Family Nurse Practitioner
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95017680
- Practice address
- 2 Hughes Ste 150
Irvine, CA 92618-2036 - Phone
- (949) 229-1214
- NPI assigned
- Dec 23, 2021
- Last updated
- Dec 23, 2021
- Sex
- Female
- 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 Nurse Practitioner | 363LF0000X | 95017680 | CA | Primary |
Addresses
Primary practice location
2 Hughes Ste 150
Irvine, CA 92618-2036
Mailing address
2698 N Bentley St
Orange, CA 92867-2260
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
19222 Pioneer Blvd
Suite 101
Cerritos, CA 90703-6603
Phone (800) 424-6589
300 Continental Blvd
Suite 635
El Segundo, CA 90245-5040
Phone (310) 658-3775
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95017680 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Good Health PC, Inc. | Current | Accepting new patients | |
| Greater Good Health PC, Inc. | Current | Accepting new patients |
Locations
6090 W Ramsey St
Banning, CA 92220
Phone (818) 707-7834
1309 E Carson St
Carson, CA 90745
Phone (310) 513-1427
4445 Riverside Dr
Chino, CA 91710
Phone (760) 202-3491
Organizations & group practices 2
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.
-
- Nurse Practitioner
- El Segundo, CA
- NPI 1821673005
-
- Primary Care Clinic/Center
- Ammon, ID
- NPI 1033095914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640217600000",
"number": "1891455382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2698 N BENTLEY ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928672260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 HUGHES STE 150",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182036",
"telephone_number": "949-229-1214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANG",
"first_name": "CONNIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-23",
"last_updated": "2021-12-23",
"certification_date": "2021-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95017680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; 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.