Sarah Duan, DO
Individual provider Active NPI Sports Medicine (Family Medicine) Physician · Moreno Valley, CA
NPI 1124687645 · NPPES record last updated Feb 20, 2024
Key facts
- NPI
- 1124687645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Medicine (Family Medicine) Physician 207QS0010X
- License
- 20A20071 (CA)
- Practice address
- 23520 Cactus Ave
Moreno Valley, CA 92553-8906 - Phone
- (951) 867-3825
- NPI assigned
- Jun 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 19
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
- County of Riverside
Canyon Springs Medical Group Inc
Practice addresses (Care Compare)
23520 Cactus Ave
Moreno Valley, CA 92553-8906
Phone (951) 867-3900
26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (951) 486-5610
Hospital & facility affiliations
- Riverside University Health System-Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221024001303 | CA | Practitioner - Family Practice | 0749656346 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A20071 | CA | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Riverside | Current |
Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current |
Accepting new patients | |
| Canyon Springs Medical Group, Inc. | Current |
Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current |
Accepting new patients | |
| County of Riverside | Current |
Accepting new patients | |
| County of Riverside | Current | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610
23520 Cactus Ave
Moreno Valley, CA 92553
Phone (951) 867-3812
308 E San Jacinto Ave
Perris, CA 92570
Phone (951) 940-6700
1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611
Interoperability endpoints
- sduan258946@direct.llu.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 20A20071 | CA | Yes |
Addresses
Primary practice location
23520 Cactus Ave
Moreno Valley, CA 92553-8906
Mailing address
23520 Cactus Ave
Moreno Valley, CA 92553-8906
Other providers in Moreno Valley, CA
- Dr Vimal Patel ,DDS Inc
- Dr. Deza'S Dental Office Inc.
- Dr. Kassem Dental Corp
- Dr. Stacy Pipes-Joyner, Licensed Clinical Social Worker Inc.
- DRDM LLC
- Andrea Melesko Dubkevic
- Radu Dudas
- Maria Guadalupe Duenas
- Patrick Michael Duffy
- Amanpreet Kaur Dulai
All providers in Moreno Valley, CA · Sports Medicine (Family Medicine) Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.