Duane Medeiros, MSN-NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

559005 Issued in CA

Practice address

901 Campus Dr Ste 102
Daly City, CA 94015-4930

Phone

(650) 266-8242

NPI assigned

Oct 6, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Anesthesia Care Consultants Inc

  • Anesthesiology Physician
  • Daly City, CA
  • NPI 1093846628
  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1013905850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 LAKESIDE PKWY STE 150-11",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224120",
            "telephone_number": "650-266-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CAMPUS DR STE 102",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154930",
            "telephone_number": "650-266-8242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 Sullivan Ave Ste 330",
            "address_purpose": "LOCATION",
            "city": "Daly City",
            "state": "CA",
            "postal_code": "940152204",
            "country_code": "US",
            "telephone_number": "650-756-5630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Sullivan Ave",
            "address_purpose": "LOCATION",
            "city": "Daly City",
            "state": "CA",
            "postal_code": "940152200",
            "country_code": "US",
            "telephone_number": "650-991-6463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDEIROS",
        "first_name": "DUANE",
        "credential": "MSN-NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "559005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Lee McKelvey, LVN
• Melinda Luqueta McLemore, CPT
• Kim S McLennan, P.T.
• Barry A McNamara, M.D.
• Michael McNamara, M.D.
• Tamara Medeiros
• Medhealth Nursing, LLC
• Medical Center for Diabetes & Metabolic Care Inc.
• Hilda Yamel Medina, M.S.W, L.C.S.W.
• Medisina Sa Familia, PA, MD

• Nurse Practitioner in Daly City, CA
• Providers in Daly City, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.