Man C Duong MD a Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A105702 Issued in CA

Legal business name

MAN C DUONG MD A PROFESSIONAL CORPORATION

Practice address

423 E 2ND St
Calexico, CA 92231-2846

Phone

(760) 890-5432

Fax

(877) 409-2620

NPI assigned

Apr 23, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Man Cong Duong, MDNPI 1679718399

Title

President

Phone

(279) 297-3417

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Man Cong Duong, M.D.

  • Internal Medicine Physician
  • Calexico, CA
  • NPI 1679718399
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1134563976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 E 2ND ST",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922312846",
            "telephone_number": "279-297-3417",
            "fax_number": "877-409-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 E 2ND ST",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922312846",
            "telephone_number": "760-890-5432",
            "fax_number": "877-409-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAN C DUONG MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "MAN",
        "authorized_official_middle_name": "CONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "279-297-3417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A105702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luz Tristan MD Inc
• Anna Hangthanh Ly
• Mariana Magana
• Jadine C Mah, PHARMD
• Allison Marie Mainas
• Vanessa Martinez Tirado
• Aranza Anel Martinez
• Carlos D Martinez
• Conrado Martinez, PA-C
• Gabriel Martinez

• Internal Medicine Physician in Calexico, CA
• Providers in Calexico, 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 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.