PHUONG DUC DANG MD
NPI 1003822503
Family Medicine in Oakland, CA

Active since August 01, 2006PECOS EnrolledCLIA 05D0690579 · Waiver
30/100
CMS Quality Rating
145 INTERNATIONAL BLVD, OAKLAND, CA 94606(510) 465-4422(510) 465-1466 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phuong Duc Dang Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHUONG DUC DANG MD (NPI 1003822503) is an individual family medicine provider in Oakland, California, licensed in California (A415350) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through June 29, 2027, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1003822503
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePHUONG DUC DANGCredential: MD
Location Address145 INTERNATIONAL BLVDOakland, CA 94606
Mailing Address145 International BlvdOakland, CA 94606 · (510) 465-4422 · Fax (510) 465-1466
Fax(510) 465-1466
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1003822503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A415350
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
145 INTERNATIONAL BLVD, Oakland, CA 94606

Other Identifiers 3

Medicaid00A415350CA
Medicare ID-Type Unspecified00A415350
Medicare UPINA29401

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Phuong Duc Dang Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183802929
PECOS Enrollment IDI20110628000048
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0690579

Phuong Duc Dang MD · Oakland, CA
Active · expires Jun 29, 2027
CLIA Number05D0690579
Laboratory TypePhysician Office
Certificate Effective DateJune 30, 2025
Certificate Expiration DateJune 29, 2027
Laboratory DirectorPhuong D. Dang
Laboratory Phone(510) 465-4422
Laboratory LocationPhuong Duc Dang MD145 International Blvd, Oakland, CA 94606
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,460 services206 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

30/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost100

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers26 claims48 services$4.57 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers21 claims21 services$0.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phuong Dang's NPI number?

The NPI number for Phuong Dang is 1003822503. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Phuong Dang located?

Phuong Dang practices at 145 International Blvd, Oakland, CA 94606. The listed phone number is (510) 465-4422.

What is Phuong Dang's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Phuong Dang enrolled in Medicare?

Yes. Phuong Dang is registered in the Medicare PECOS enrollment system.

Does Phuong Dang hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0690579) is associated with this NPI, valid through June 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Phuong Dang was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.