Sam Duran, PHD CLINICAL STUDENT

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

8405 Issued in CA

Practice address

4946 E Yale Ave Ste 103
Fresno, CA 93727-1571

Phone

(559) 458-0210

NPI assigned

Sep 29, 2023

Sex

Male

Sole proprietor

No

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)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1104606961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 W ASHLAN AVE APT 241",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937051918",
            "telephone_number": "559-558-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4946 E YALE AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271571",
            "telephone_number": "559-458-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAN",
        "first_name": "SAM",
        "credential": "PHD CLINICAL STUDENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "8405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corion Dane Duran
• Esmeralda Duran
• Michelle Brianna Rose Duran
• Nellie Duran
• Rebecca Anne Duran
• Diego Luis Durand Quiroga, MS.SLP
• Raquel Christine Dureza-Muneses, M.D.
• Catalino Dominic Dureza, M.D.
• John Durham, RPH
• Kimberly Ann Durham, NP

• Student in an Organized Health Care Education/Training Program in Fresno, CA
• Providers in Fresno, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.