J. W. Duncan MD a Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

C38275 Issued in CA

Legal business name

J. W. DUNCAN MD A MEDICAL CORPORATION

Practice address

711 W College St
Suite 625
Los Angeles, CA 90012-1163

Phone

(323) 267-0222

Fax

(213) 621-4440

NPI assigned

Dec 24, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie Duncan

Title

Office Manager

Phone

(323) 267-0222

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jan W Duncan, MD

  • Orthopaedic Surgery of the Spine Physician
  • Los Angeles, CA
  • NPI 1821109083
  Medicare reassignment Care Compare group NPD
• Mohsin Sikendar Fidai, M.D.

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
  • NPI 1558725127
  Medicare reassignment Care Compare group NPD
• Todd Lee Harshbarger, M.D.

  • Neurological Surgery Physician
  • Burbank, CA
  • NPI 1366649089
  Medicare reassignment Care Compare group
• Pranay Patel, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Manhattan Beach, CA
  • NPI 1134477565
  Medicare reassignment NPD

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

{
    "created_epoch": "1230076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230076800000",
    "number": "1205072154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W COLLEGE ST",
            "address_2": "SUITE 625",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121163",
            "telephone_number": "323-267-0222",
            "fax_number": "213-621-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W COLLEGE ST",
            "address_2": "SUITE 625",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121163",
            "telephone_number": "323-267-0222",
            "fax_number": "213-621-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. W. DUNCAN MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-24",
        "last_updated": "2008-12-24",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "323-267-0222",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C38275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE",
            "identifier": "C38275",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ja Deuk Hanbang Clinic
• Mohamad Jaafar

• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.