Individual provider Active NPI

Daniel Abraham Duel, MD

  • Psychiatry Physician
  • Cardiff by the Sea, CA
National Provider Identifier
1184100752
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A164692 Issued in CA
Practice address
120 Birmingham Dr Ste 240a
Cardiff by the Sea, CA 92007-1757
Phone
(858) 208-0121
Fax
(858) 381-9768
NPI assigned
Jul 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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 A164692 CA Primary

Addresses

Primary practice location

120 Birmingham Dr Ste 240a
Cardiff by the Sea, CA 92007-1757

Mailing address

120 Birmingham Dr Ste 240a
Cardiff by the Sea, CA 92007-1757
Phone (858) 208-0121

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
I20200914002065 CA Practitioner - Psychiatry 0941624415 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of California, Geffen School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychbright HealthGroup PAC ID 9537533724, 9 clinicians

Practice addresses (Care Compare)

1180 S Beverly Dr
Suite 700
Los Angeles, CA 90035-1151
Phone (213) 584-2331

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A164692CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychbright Health Psychiatry CurrentSince Mar 6, 2023 Accepting new patients
Jewish Family Service of Los Angeles CurrentSince Aug 31, 2020 Accepting new patients
Alcott Center for Mental Health Services CurrentSince Nov 16, 2021 Accepting new patients
Recover Medical Group PC CurrentSince Jul 2, 2021 Accepting new patients
Mindwell Solutions Inc Psychiatry Current Accepting new patients
Recover Medical Group PC Past Accepting new patients
Recover Medical Group PC Past Accepting new patients
Recover Medical Group PC Past Accepting new patients
Recover Medical Group PC Past Accepting new patients
Recover Medical Group PC Past Accepting new patients
Recover Medical Group PC Past Accepting new patients
Recover Medical Group PC Past Accepting new patients

Locations

9531 Santa Monica Blvd
Beverly Hills, CA 90210

120 Birmingham Dr
Ste 240A
Cardiff by the Sea, CA 92007
Phone (760) 655-6914

10559 Jefferson Blvd
Ste A
Culver City, CA 90232
Phone (310) 785-2121

10549 Jefferson Blvd
Culver City, CA 90232
Phone 3107852121 ext. 202

330 N Fairfax Ave
Los Angeles, CA 90036
Phone (323) 937-5900

1180 S Beverly Dr
Ste 700
Los Angeles, CA 90035
Phone (213) 584-2331

3580 Wilshire Blvd
Ste 700
Los Angeles, CA 90010
Phone (213) 260-7900

12821 Victory Blvd
North Hollywood, CA 91606
Phone (818) 432-5025

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 12

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": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1184100752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BIRMINGHAM DR STE 240A",
            "city": "CARDIFF BY THE SEA",
            "state": "CA",
            "postal_code": "920071757",
            "telephone_number": "858-208-0121",
            "fax_number": "858-381-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BIRMINGHAM DR STE 240A",
            "city": "CARDIFF BY THE SEA",
            "state": "CA",
            "postal_code": "920071757",
            "telephone_number": "858-208-0121",
            "fax_number": "858-381-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUEL",
        "first_name": "DANIEL",
        "middle_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-17",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A164692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cardiff by the Sea, CA

Sources for this page

Verify at the official NPI Registry.