ANDREW DANG (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1063192953

ANDREW DANG (PMHNP) is a healthcare provider. based in Anaheim, California. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 95025199 (CA). The NPI Number for ANDREW DANG (PMHNP) is 1063192953

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW DANG (PMHNP)
NPI
1063192953
Phone
Not provided
Address
3350 W BALL RD
Enumeration Date
24 July 2023
Last Update Date
7 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3105520146
Graduation Year
2023 (3 years ago)
PAC ID
9234584186
Group Practice PAC ID
1759716673
Professional Enrollment ID
I20231012000563
Address ID
CA908042182LO1760XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for ANDREW DANG (PMHNP)

  • 3350 W BALL RD

    ANAHEIM, CA 928043710

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $842.

Total Amount is formed as General ($842) + Research ($0) + Ownership ($0) = $842.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($496).

Total Amount

$842

General + Research + Ownership

Payments

19

Total payment records

General Amount

$842

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231012000563INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92804)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759716673View full group profile
NameSpecialtyState
Mental Health CounselorCA
Nurse PractitionerCA
Nurse PractitionerCA
Psychiatry, NeurologyCA
Nurse PractitionerCA
Nurse PractitionerCA
Clinical Social WorkerCA
Nurse PractitionerCA
Physician AssistantCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

Is ANDREW DANG (PMHNP) listed with a National Provider Identifier?
Yes — ANDREW DANG (PMHNP) has NPI 1063192953 on file in the registry.
Is ANDREW DANG (PMHNP) shown as active in public data?
Registry records indicate ANDREW DANG (PMHNP) maintains an active NPI.
What clinical focus is listed for ANDREW DANG (PMHNP)?
At a glance, ANDREW DANG (PMHNP) is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with ANDREW DANG (PMHNP)?
Directory geography for ANDREW DANG (PMHNP) centers on Anaheim, California.
When was this NPI issued?
Enumeration for ANDREW DANG (PMHNP) is noted as July 24, 2023 where the registry provides it.

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