Active NPI
David Y Kan, M.D.
- Forensic Psychiatry Physician
- Walnut Creek, CA
National Provider Identifier
1942319918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychiatry Physician
- License
- A73621
- 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, 2021
- 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 |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A73621 | CA | MD | Forensic Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Heart Health Medical Group a Medical Corporation | Current | 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.
-
- Specialist
- Walnut Creek, CA
- NPI 1427569037
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.