Individual provider Active NPI

Bich Lieu Thi Duong, NP

  • Nurse Practitioner
  • Newport Beach, CA
National Provider Identifier
1295275576
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95006151 Issued in CA
Practice address
330 Old Newport Blvd Ste 100
Newport Beach, CA 92663-4121
Phone
(949) 646-6441
NPI assigned
Mar 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95006151 CA Primary

Addresses

Primary practice location

330 Old Newport Blvd Ste 100
Newport Beach, CA 92663-4121

Mailing address

330 Old Newport Blvd Ste 100
Newport Beach, CA 92663-4121
Phone (949) 646-6441

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170606002408 CA Practitioner - Nurse Practitioner 1254608607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usc Care Medical Group IncGroup PAC ID 0446157747, 1,378 clinicians

Practice addresses (Care Compare)

1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273

300 Old Newport Blvd
Newport Beach, CA 92663-4121
Phone (949) 646-6441

330 Old Newport Blvd
Newport Beach, CA 92663-4121

520 Superior Ave
Suite 300
Newport Beach, CA 92663-3668
Phone (949) 474-5722

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
UC Regents CurrentSince May 9, 2017 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Dec 14, 2018 Accepting new patients
UC Regents Current Accepting new patients
Usc Care Medical Group, Inc CurrentSince Dec 14, 2018 Accepting new patients
UC Regents CurrentSince May 9, 2017 Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients
University of California Irvine Past Accepting new patients
Keck Medical Center of Usc Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients

Locations

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1516 San Pablo St
Fl 2
Los Angeles, CA 90033
Phone (323) 276-3704

330 Old Newport Blvd
Ste 100
Newport Beach, CA 92663
Phone (949) 646-6441

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1295275576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 OLD NEWPORT BLVD STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634121",
            "telephone_number": "949-646-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 OLD NEWPORT BLVD STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634121",
            "telephone_number": "949-646-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "BICH LIEU",
        "middle_name": "THI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95006151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.