Active NPI
Duane Hugh Nielsen, ARRT, CRT
- Radiologic Technologist
- Santa Ana, CA
National Provider Identifier
1073684809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- RHT 60333
- Practice address
- 1725 W 17TH St
Santa Ana, CA 92706-2316 - Phone
- (714) 934-8017
- Fax
- (714) 834-8728
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | RHT 60333 | CA | Primary |
Addresses
Primary practice location
1725 W 17TH St
Santa Ana, CA 92706-2316
Mailing address
28902 Boleada
Mission Viejo, CA 92692-3904
Phone (949) 365-0822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RHT 60333 | CA | MD | Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073684809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28902 BOLEADA",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926923904",
"telephone_number": "949-365-0822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 W 17TH ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927062316",
"telephone_number": "714-934-8017",
"fax_number": "714-834-8728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSEN",
"first_name": "DUANE",
"middle_name": "HUGH",
"name_prefix": "Mr.",
"credential": "ARRT, CRT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "CA",
"license": "RHT 60333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.