Active NPI
Duane E Bridges, M.D.
- Clinical Cardiac Electrophysiology Physician
- Hawthorne, CA
National Provider Identifier
1154352011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- G63954
- Practice address
- 11633 Hawthorne Blvd
#400
Hawthorne, CA 90250-2321 - Phone
- (310) 973-0600
- Fax
- (310) 419-0834
- NPI assigned
- Jul 6, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | G63954 | CA | Primary |
| Cardiovascular Disease Physician | 207RC0000X | G63954 | CA |
Addresses
Primary practice location
11633 Hawthorne Blvd
#400
Hawthorne, CA 90250-2321
Mailing address
11633 Hawthorne Blvd
#400
Hawthorne, CA 90250-2321
Phone (310) 973-0600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G639541 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Morehouse School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2423 N Broadway
Los Angeles, CA 90031-2218
Phone (213) 376-3762
Hospital & facility affiliations
- Hope Professional Services, Inc
- Providence Little Company of Mary Med Ctr Torrance
- Centinela Hospital Medical Center
- Providence St. Jude Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 92
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 68 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63954 | CA | MD | Endodontist |
| G63954 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Priority Family Care Center Apc | Cardiovascular Disease | Current | Accepting new patients |
| Christo Cardiology & Vascular Medicine Inc | Cardiovascular Disease | Current | Accepting new patients |
Locations
1762 Westwood Blvd
Ste 110
Los Angeles, CA 90024
Phone (310) 441-2000
2423 N Broadway
Los Angeles, CA 90031
Phone (213) 376-3762
15030 Seventh St
Victorville, CA 92395
Phone (213) 376-3762
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Los Angeles, CA
- NPI 1851140404
-
- Cardiovascular Disease Physician
- Los Angeles, CA
- NPI 1982298394
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Registered Nurse
- Riverside, CA
- NPI 1992783765
Home health agency
-
- General Acute Care Hospital
- Inglewood, CA
- NPI 1336328244
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1902844988
-
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
- General Acute Care Hospital
- Brea, CA
- NPI 1891904942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269388800000",
"number": "1154352011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11633 HAWTHORNE BLVD",
"address_2": "#400",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902502321",
"telephone_number": "310-973-0600",
"fax_number": "310-419-0834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11633 HAWTHORNE BLVD",
"address_2": "#400",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902502321",
"telephone_number": "310-973-0600",
"fax_number": "310-419-0834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGES",
"first_name": "DUANE",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2010-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "CA",
"license": "G63954",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G63954",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G639541",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.