Individual provider Active NPI

Daniel Duy Khiem That Ton, MD

  • Anesthesiology Physician
  • Menlo Park, CA
National Provider Identifier
1992757694
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A83996 Issued in CA
Practice address
1422 El Camino Real
Menlo Park, CA 94025-4110
Phone
(650) 903-9500
Fax
(650) 903-9500
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A83996 CA Primary

Addresses

Primary practice location

1422 El Camino Real
Menlo Park, CA 94025-4110

Mailing address

1422 El Camino Real
Menlo Park, CA 94025-4110
Phone (650) 903-9500

Other identifiers 1

IdentifierTypeStateIssuer
00A839960MedicaidCA

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
I20040505001510 CA Practitioner - Anesthesiology 8729076880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Indiana University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silicon Valley Anesthesia Associates IncGroup PAC ID 7618235003, 17 clinicians

Practice addresses (Care Compare)

2340 Montpelier Dr
San Jose, CA 95116-1622
Phone (408) 538-8934

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Silicon Valley Anesthesia Associates, Inc. Anesthesiology CurrentSince Oct 31, 2017 Accepting new patients

Locations

235 Oconnor Dr
San Jose, CA 95128
Phone (408) 279-0791

2039 Forest Ave
Ste 101
San Jose, CA 95128
Phone (408) 293-4211

2340 Montpelier Dr
San Jose, CA 95116
Phone (408) 515-2428

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1992757694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 EL CAMINO REAL",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254110",
            "telephone_number": "650-903-9500",
            "fax_number": "650-903-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 EL CAMINO REAL",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254110",
            "telephone_number": "650-903-9500",
            "fax_number": "650-903-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TON",
        "first_name": "DANIEL",
        "middle_name": "DUY KHIEM THAT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A83996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A839960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.