Individual provider Active NPI

Anthony Dai Duk, MD

  • Psychiatry Physician
  • Redlands, CA
National Provider Identifier
1154439131
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A80755 Issued in CA
Practice address
1809 W Redlands Blvd
Redlands, CA 92373-8054
Phone
(909) 335-3026
Fax
(909) 335-3167
NPI assigned
Aug 29, 2006
Last updated
Sep 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A80755 CA Primary

Addresses

Primary practice location

1809 W Redlands Blvd
Redlands, CA 92373-8054

Mailing address

1809 W Redlands Blvd
Redlands, CA 92373-8054
Phone (909) 335-3026

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090716000150 CA Practitioner - Psychiatry 2062564479 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Loma Linda University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

Riverside, CA 92508
Phone (909) 588-9275

1809 W Redlands Blvd
Redlands, CA 92373-8054
Phone (909) 335-3026

19510 Van Buren Blvd
F3 PMB 261
Riverside, CA 92508-9458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A80755CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metamorphic Psychiatry Inc Psychiatry CurrentSince Apr 1, 2022 Accepting new patients
Inland Psychiatric Medical Group, Inc. Psychiatry CurrentSince Jun 30, 2017 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Oct 8, 2024 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Oct 8, 2024 Accepting new patients
Inland Psychiatric Medical Group, Inc Psychiatry CurrentSince Jun 30, 2017 Accepting new patients
Inland Psychiatric Medical Group, Inc. Psychiatry Current Accepting new patients
Darin Rentz DO PC Psychiatry CurrentSince Nov 1, 2024 Accepting new patients
Virginia Mason Medical Center Current Accepting new patients
Redlands Community Hospital Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
San Bernardino Medical Group Inc Past Accepting new patients
Dignity Health Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
Kevin Kinback Psychiatry Past Accepting new patients

Locations

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

12555 Central Ave
Ste C
Chino, CA 91710
Phone (909) 613-0100

5475 Walnut Ave
Chino, CA 91710
Phone (909) 591-6446

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

162 N Santa Fe St
Hemet, CA 92543
Phone (951) 506-9522

12021 Wilmington Ave
Ste 1000
Los Angeles, CA 90059
Phone (424) 529-6577

23110 Atlantic Cir
Ste F
Moreno Valley, CA 92553
Phone (951) 243-6455

8710 Monroe Ct
Ste 150
Rancho Cucamonga, CA 91730
Phone (909) 941-4870

1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320

255 Terracina Blvd
Ste 204
Redlands, CA 92373
Phone (909) 496-1266

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

19510 Van Buren Blvd
Ste F3
Riverside, CA 92508
Phone (707) 344-8928

36243 Inland Valley Dr
Ste 220
Wildomar, CA 92595
Phone (909) 696-5220

33501 1st Way S
Federal Way, WA 98003
Phone (253) 838-2400

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: aduk525263@direct-ehr-ssmhc.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CCHCBA/Endpoint/CCHCBA

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1154439131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 W REDLANDS BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738054",
            "telephone_number": "909-335-3026",
            "fax_number": "909-335-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 W REDLANDS BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738054",
            "telephone_number": "909-335-3026",
            "fax_number": "909-335-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUK",
        "first_name": "ANTHONY",
        "middle_name": "DAI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A80755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.