Individual provider Active NPI

Juan F Duran, P.T.

  • Pediatric Physical Therapist
  • Palmdale, CA
National Provider Identifier
1154788404
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
20261 Issued in CA
Practice address
650 Commerce Ave
Ste. E
Palmdale, CA 93551-3884
Phone
(818) 602-5163
Fax
(661) 252-2513
NPI assigned
Jan 18, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 20261 CA Primary

Addresses

Primary practice location

650 Commerce Ave
Ste. E
Palmdale, CA 93551-3884

Mailing address

650 Commerce Ave
Ste. E
Palmdale, CA 93551-3884
Phone (818) 602-5163

Other identifiers 2

IdentifierTypeStateIssuer
1154788404OtherCAPHYSICAL THERAPIST
1154788404OtherCAPHYSICAL THERAPY

Other names 1

  • Mr. Juan Federico Duran Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20261CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Visions Pediatric Therapy, Inc PastSince Apr 17, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1154788404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 COMMERCE AVE",
            "address_2": "STE. E",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513884",
            "telephone_number": "818-602-5163",
            "fax_number": "661-252-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 COMMERCE AVE",
            "address_2": "STE. E",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513884",
            "telephone_number": "818-602-5163",
            "fax_number": "661-252-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAN",
        "first_name": "JUAN",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-18",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "20261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "1154788404",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "1154788404",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUAN",
            "last_name": "DURAN",
            "middle_name": "FEDERICO",
            "prefix": "MR.",
            "credential": "PHYSICAL THERAPIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.