Active NPI
Jesus Antonio Duran, PA-C
- Physician Assistant
- Ivanhoe, CA
National Provider Identifier
1366764532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA20805
- Practice address
- 33025 Road 159
Ivanhoe, CA 93235-1234 - Phone
- (559) 798-1877
- Fax
- (559) 798-1058
- NPI assigned
- Feb 16, 2010
- Last updated
- Jun 23, 2010
- 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 | PA20805 | CA | Primary |
Addresses
Primary practice location
33025 Road 159
Ivanhoe, CA 93235-1234
Mailing address
314 North Main Street
Porterville, CA 93257-3730
Phone (559) 791-7000
Other names 1
- Tony Duran
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Healthcare Network | Past | Accepting new patients | |
| Family Healthcare Network | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Delano, CA
- NPI 1063283158
-
- Federally Qualified Health Center (FQHC)
- Ivanhoe, CA
- NPI 1386670610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277251200000",
"number": "1366764532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 NORTH MAIN STREET",
"city": "PORTERVILLE",
"state": "CA",
"postal_code": "932573730",
"telephone_number": "559-791-7000",
"fax_number": "559-781-8193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33025 ROAD 159",
"city": "IVANHOE",
"state": "CA",
"postal_code": "932351234",
"telephone_number": "559-798-1877",
"fax_number": "559-798-1058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURAN",
"first_name": "JESUS",
"middle_name": "ANTONIO",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-16",
"last_updated": "2010-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA20805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TONY",
"last_name": "DURAN",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Ivanhoe, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.