My Tu Duong Pang, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

01069919 Issued in CA

Practice address

2001 Junipero Serra Blvd Ste 100
Daly City, CA 94014

Phone

(650) 746-3140

NPI assigned

Jan 23, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• My Tu Duong Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1285972422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 JUNIPERO SERRA BLVD STE 100",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940143899",
            "telephone_number": "650-746-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 JUNIPERO SERRA BLVD STE 100",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "94014",
            "telephone_number": "650-746-3140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 DuVal Dr",
            "address_purpose": "LOCATION",
            "city": "South San Francisco",
            "state": "CA",
            "postal_code": "940801152",
            "country_code": "US",
            "telephone_number": "848-565-4414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUONG PANG",
        "first_name": "MY TU",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "01069919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MY",
            "last_name": "DUONG",
            "middle_name": "TU",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anqi Duan
• Sugar Duclayan
• Erick Garcia Ducut, MD
• Jemarie Aragona Dumaldal
• Sarah Allyn Dunn
• Helen Duong
• Kim Thien Duong, PHARMD, RPH
• Shayra Duran
• Dva Healthcare Renal Care Inc (Daly City Dialysis)
• Adam Dziuba, MD

• Registered Dietitian in Daly City, CA
• Providers in Daly City, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.