Organization Active NPI

Spectrum Consulting Group

Doing business as Spectrum Preventive Health

  • Clinic/Center
  • Tamuning, GU
National Provider Identifier
1043021546
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SPECTRUM CONSULTING GROUP
Doing business as
Spectrum Preventive Health
Practice address
280 Pale San Vitores Rd
Tamuning, GU 96913-3615
Phone
(671) 689-4219
NPI assigned
Jan 15, 2025
Last updated
Sep 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Dr. Vincent Duenas, DONPI 1134430192
Title
Ceo
Phone
(671) 689-4219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

280 Pale San Vitores Rd
Tamuning, GU 96913-3615

Mailing address

214 Lakeview Dr
Yona, GU 96915-6658
Phone (671) 689-4219

Other names 1

  • Spectrum Preventive Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251001003758 GU Part B Supplier - Clinic/Group Practice 7911403621 Receives reassigned benefits from 1 practitioner
Practice locations: Tamuning, GU

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
65D2321037Spectrum Consulting Group LLC280 Pale San Vitored Road Unit 104, Tamuning, GU 96913Certificate of waiverMar 27, 2027

National Provider Directory

National Provider Directory

Locations

280 Pale San Vitores Rd
Tamuning, GU 96913
Phone (671) 647-4542

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJAJDD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1043021546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 LAKEVIEW DR",
            "city": "YONA",
            "state": "GU",
            "postal_code": "969156658",
            "telephone_number": "671-689-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 PALE SAN VITORES RD",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133615",
            "telephone_number": "671-689-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM CONSULTING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "DUENAS",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "671-689-4219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Preventive Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tamuning, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.