Individual provider Active NPI

Khanh Tuan Duong, D.P.M.

  • Podiatrist
  • Westminster, CA
National Provider Identifier
1295754125
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E 4237 Issued in CA
Practice address
13701 Beach Blvd A1
Westminster, CA 92683-5347
Phone
(714) 705-0737
Fax
(310) 618-6989
NPI assigned
Jul 19, 2006
Last updated
Sep 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E 4237 CA Primary

Addresses

Primary practice location

13701 Beach Blvd A1
Westminster, CA 92683-5347

Mailing address

10282 Parkview Ave
Westminster, CA 92683-5782
Phone (714) 697-9939

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040322000912 CA Practitioner - Podiatry 8527959436 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affordable Medical Center and Urgent Care IncGroup PAC ID 1658704549, 2 clinicians

Practice addresses (Care Compare)

13071 Brookhurst St
Suite 150
Garden Grove, CA 92843-1024
Phone (657) 251-0974

5300 Santa Monica Blvd
Suite 304
Los Angeles, CA 90029-1259
Phone (323) 300-5266

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue2505
Removal or shaving of skin growth1901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E 4237CAMDPodiatrist
4237CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aaa Medical Group CurrentSince Oct 1, 2013 Accepting new patients
Valley Vita Medical Center, Inc CurrentSince Nov 1, 2022 Accepting new patients
Green Medical Group CurrentSince Oct 5, 2025 Accepting new patients
Occ Medical Group LLC Podiatrist Current Accepting new patients
Cherry Clinic CurrentSince Nov 6, 2022 Accepting new patients
Select CS Physical Therapy, P.C. CurrentSince Mar 22, 2004 Accepting new patients
Tran Medical Group Inc CurrentSince Jul 8, 2022 Accepting new patients
Foot and Wound Care Center CurrentSince Jan 11, 2024 Accepting new patients
Affordable Medical Center & Urgent Care Inc CurrentSince Feb 1, 2020 Accepting new patients
Dr Sole & PT Past Accepting new patients
Khai DO MD Inc. Past Accepting new patients
Bang Quoc Tran Chiropractic, Inc. Past Accepting new patients
PLS Podiatry Group Podiatrist Past Accepting new patients
Peter Lam Thoai Phuc, MD, Inc. Past Accepting new patients
Lai Tran Pratska Duong Med Corp Past Accepting new patients
Total Healthcare PastSince Oct 15, 2008 Accepting new patients
Truong & Duong Medical Corp Past Accepting new patients
East la Paz Medical Clinic Past Accepting new patients

Locations

1250 S Magnolia Ave
Anaheim, CA 92804
Phone (714) 220-1188

995 W Foothill Blvd
Claremont, CA 91711
Phone (714) 655-8298

40657 Road 128
Cutler, CA 93615
Phone (559) 390-0023

561 N Alta Ave
Ste A
Dinuba, CA 93618
Phone (559) 596-3022

10900 Westminster Ave
Garden Grove, CA 92843

10900 Westminster Ave
Ste 7
Garden Grove, CA 92843
Phone (714) 539-8820

10900 Westminster Ave
Ste 8
Garden Grove, CA 92843
Phone (714) 220-1188

13071 Brookhurst St
Ste 110
Garden Grove, CA 92843
Phone (714) 636-7410

13071 Brookhurst St
Ste 150
Garden Grove, CA 92843
Phone (657) 251-0974

5300 Santa Monica Blvd
Ste 304
Los Angeles, CA 90029
Phone (323) 300-5266

9880 Central Ave
Montclair, CA 91763
Phone (657) 251-0974

5907 Lankershim Blvd
North Hollywood, CA 91601
Phone (818) 980-3073

18607 Ventura Blvd
Ste 206
Tarzana, CA 91356
Phone (818) 758-8282

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 22

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1295754125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10282 PARKVIEW AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835782",
            "telephone_number": "714-697-9939",
            "fax_number": "714-899-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13701 BEACH BLVD A1",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835347",
            "telephone_number": "714-705-0737",
            "fax_number": "310-618-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "KHANH",
        "middle_name": "TUAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E 4237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.