Individual provider Active NPI

David Y Kan, M.D.

  • Forensic Psychiatry Physician
  • Walnut Creek, CA
National Provider Identifier
1942319918
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
A73621 Issued in CA
Practice address
2960 Camino Diablo Ste 105
Walnut Creek, CA 94597-3945
Phone
(800) 892-2695
NPI assigned
Aug 30, 2006
Last updated
Feb 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X A73621 CA Primary

Addresses

Primary practice location

2960 Camino Diablo Ste 105
Walnut Creek, CA 94597-3945

Mailing address

200 Brannan St
#307
San Francisco, CA 94107-6001
Phone (415) 979-0793

Other practice location 1

4150 Clement St # 116-F
San Francisco, CA 94121-1545
Phone (415) 221-4810 ext. 2823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2016 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A73621CAMDForensic Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Heart Health Medical Group a Medical Corporation CurrentSince Oct 4, 2017 Accepting new patients

Locations

2960 Camino Diablo
Ste 105
Walnut Creek, CA 94597
Phone (415) 990-3151

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1942319918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BRANNAN ST",
            "address_2": "#307",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941076001",
            "telephone_number": "415-979-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 CAMINO DIABLO STE 105",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945973945",
            "telephone_number": "800-892-2695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 Clement St # 116-F",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941211545",
            "country_code": "US",
            "telephone_number": "415-221-4810 x2823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAN",
        "first_name": "DAVID",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "CA",
            "license": "A73621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.