Individual provider Active NPI

Quyen Dao, M.D.

  • Obesity Medicine (Internal Medicine) Physician
  • Tustin, CA
National Provider Identifier
1932305034
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
License
A85506 Issued in CA
Practice address
17542 17TH St
Suite 410
Tustin, CA 92780-1959
Phone
(714) 835-9550
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) Physician 207RB0002X A85506 CA Primary
Internal Medicine Physician 207R00000X A85506 CA

Addresses

Primary practice location

17542 17TH St
Suite 410
Tustin, CA 92780-1959

Mailing address

17542 17TH St
Suite 410
Tustin, CA 92780-1959
Phone (714) 835-9550

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
I20060224000709 CA Practitioner - Internal MedicinePractitioner - Family Practice 6406862614 Practice locations: Orange, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, San Diego School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1010 W la Veta Ave
Suite 775
Orange, CA 92868-4306
Phone (714) 541-4343

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1932305034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17542 17TH ST",
            "address_2": "SUITE 410",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927801959",
            "telephone_number": "714-835-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17542 17TH ST",
            "address_2": "SUITE 410",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927801959",
            "telephone_number": "714-835-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAO",
        "first_name": "QUYEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "CA",
            "license": "A85506",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A85506",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.