Antonio Durazo MD Inc
Organization Active NPI Family Medicine Physician · Porterville, CA
NPI 1194865543 · NPPES record last updated Feb 21, 2014
Key facts
- NPI
- 1194865543
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ANTONIO DURAZO MD INC
- Practice address
- 841 W Morton Ave
Porterville, CA 93257-3184 - Phone
- (559) 781-8080
- Fax
- (559) 781-8960
- NPI assigned
- Feb 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Antonio Durazo, MD
- Title
- Owner
- Phone
- (559) 781-8080
Practitioners 2
-
Rebecca Escobar, NP-C
-
Brian G. Williams, PA-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0585488 | Morinda Medical Group | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
841 W Morton Ave
Porterville, CA 93257-3184
Mailing address
841 W Morton Ave
Porterville, CA 93257-3184
Phone (559) 781-8080
Other names
- morinda medical group
Other providers in Porterville, CA
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- Benjamin C. Apilado
- Michelle Danae Aquino
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All providers in Porterville, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.