Vincent Rudolph Duda, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G38938 Issued in CA

Practice address

30281 Golden Lantern
Laguna Niguel, CA 92677-5979

Phone

(949) 495-7144

Fax

(949) 495-0270

NPI assigned

Apr 27, 2006

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14459/brand/1/csg/1/fhir/r4

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.

• Monarch Healthcare, a Medical Group, Inc.

  • Specialist
  • Irvine, CA
  • NPI 1053482745
  NPD (past)
• Pacific Crest Medical Group Inc

  • Specialist
  • Dana Point, CA
  • NPI 1932131653
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1104883610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 TECHNOLOGY DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182302",
            "telephone_number": "949-923-3277",
            "fax_number": "855-812-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30281 GOLDEN LANTERN",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775979",
            "telephone_number": "949-495-7144",
            "fax_number": "949-495-0270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30131 Town Center Dr",
            "address_2": "#115",
            "address_purpose": "LOCATION",
            "city": "Laguna Niguel",
            "state": "CA",
            "postal_code": "926772083",
            "country_code": "US",
            "telephone_number": "949-495-1080",
            "fax_number": "949-495-8845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDA",
        "first_name": "VINCENT",
        "middle_name": "RUDOLPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G38938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Ali Mor, M.D., Inc.
• Dr. David R. Levin
• Dr. Edward Huster, D.D.S.
• Jennifer Lee Drewno
• Kimberly Duarte
• Michelle Sloan Duenas, MFT
• Dianna Dugger
• Claire Duhring
• Veronica Edith Dulor, MA CCC-SLP
• Dwight Dunagan, RPA

• Internal Medicine Physician in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.