Individual provider Active NPI

Paul T. Duong, M.D.

  • Internal Medicine Physician
  • Westminster, CA
National Provider Identifier
1023181658
Registry record updated Nov 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G66325 Issued in CA
Practice address
9433 Bolsa Ave
Suite # a
Westminster, CA 92683-5964
Phone
(714) 839-7332
NPI assigned
Nov 15, 2006
Last updated
Nov 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G66325 CA Primary

Addresses

Primary practice location

9433 Bolsa Ave
Suite # a
Westminster, CA 92683-5964

Mailing address

9433 Bolsa Ave
Suite # a
Westminster, CA 92683-5964
Phone (714) 839-7332

Other identifiers 1

IdentifierTypeStateIssuer
00G663251MedicaidCA

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
I20040623000918 CA Practitioner - Internal Medicine 5294710125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Southern California Keck School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Choice Aco IncGroup PAC ID 7719379395, 60 clinicians

Practice addresses (Care Compare)

7631 Wyoming St
Suite 201
Westminster, CA 92683-3904

9433 Bolsa Ave
Suite a
Westminster, CA 92683-5964

9433 Bolsa Ave a
Westminster, CA 92683-5964

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paul T. Duong, M.D., Inc CurrentSince Nov 21, 2012 Accepting new patients
Family Choice Aco Inc Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients

Locations

7631 Wyoming St
Ste 201
Westminster, CA 92683
Phone (714) 898-0765

9433 Bolsa Ave
Ste A
Westminster, CA 92683
Phone (714) 839-7332

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353110400000",
    "number": "1023181658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9433 BOLSA AVE",
            "address_2": "SUITE # A",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835964",
            "telephone_number": "714-839-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9433 BOLSA AVE",
            "address_2": "SUITE # A",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835964",
            "telephone_number": "714-839-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "PAUL",
        "middle_name": "T.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2012-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G66325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G663251",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.