Active NPI
Thao M Duong, PA
- Physician Assistant
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 22273
- Practice address
- 16 Bel SPGS
Irvine, CA 92602-1019 - Phone
- (901) 289-7856
- NPI assigned
- Jul 21, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 22273 | CA | Primary |
Addresses
Primary practice location
16 Bel SPGS
Irvine, CA 92602-1019
Mailing address
16 Bel SPGS
Irvine, CA 92602-1019
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22273 | CA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skilled Facility Health Care Solutions Inc | Current | Accepting new patients | |
| JWCH Institute Inc | Current | Accepting new patients | |
| JWCH Institute Inc | Current | Accepting new patients | |
| Skilled Facility Health Care Solutions Inc | Current | Accepting new patients |
Locations
5650 Jillson St
Commerce, CA 90040
Phone (213) 484-1186
3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387
3747 Foothill Blvd
#B140
La Crescenta, CA 91214
Phone 3104455999255
12360 Firestone Blvd
Norwalk, CA 90650
Phone (562) 281-0305
6401 33rd St
Riverside, CA 92509
Phone (909) 681-2200
1340 15th St
Santa Monica, CA 90404
Phone (310) 451-9700
Interoperability endpoints
- thao.dunogpa.p1@direct.jwch.nextgenshare.com
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1407808058
-
- Surgery Physician
- Los Angeles, CA
- NPI 1104018423
-
- Federally Qualified Health Center (FQHC)
- Lancaster, CA
- NPI 1073209177
-
- Surgery Physician
- Los Angeles, CA
- NPI 1306001805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1326326570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 BEL SPGS",
"city": "IRVINE",
"state": "CA",
"postal_code": "926021019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 BEL SPGS",
"city": "IRVINE",
"state": "CA",
"postal_code": "926021019",
"telephone_number": "901-289-7856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUONG",
"first_name": "THAO",
"middle_name": "M",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-21",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "22273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.