Jose Luis Duarte, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA22674 Issued in CA

Practice address

9301 Wilshire Blvd Ste 404
Beverly Hills, CA 90210-6137

Phone

(310) 278-9171

NPI assigned

Dec 21, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Sinu-Clear Inc

  • Otolaryngology Physician
  • Encino, CA
  • NPI 1831298751

  CA

  Medicare reassignment
• Algos Inc., a Medical Corporation

  • Pain Medicine Physician
  • Simi Valley, CA
  • NPI 1063890275
  NPD (past)
• Bryan Haas DC, Inc.

  • Family Nurse Practitioner
  • Montrose, CA
  • NPI 1265642136
  NPD (past)
• Meliora Medical Group, Inc.

  • Primary Care Clinic/Center
  • Long Beach, CA
  • NPI 1356078042
  NPD (past)
• R Srinivasan MD Inc

  • Rheumatology Physician
  • Monterey Park, CA
  • NPI 1780733923
  NPD (past)
• Sinuclear Oregon PC

  • Otolaryngology Physician
  • Salem, OR
  • NPI 1851152730
  NPD (past)

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1417293283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3036 SANTA FE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908102744",
            "telephone_number": "562-591-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 WILSHIRE BLVD STE 404",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902106137",
            "telephone_number": "310-278-9171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3036 Santa Fe Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908102744",
            "country_code": "US",
            "telephone_number": "562-591-2785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUARTE",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-21",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA22674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dream Services Inc
• DRS Kevin Michele and Shawn Frawley Beverly Hills Dental Group Inc
• Drugstore Cafe Inc
• Dsgol a Professional Corporation
• Dsy Pharmacy Inc
• Bethany Dube, PA
• Jessica Dubelman, PA-C
• Alexandra Dubinskaya, M.D.
• Robert William Dubois, M.D.
• Andre Pierrette Duchesneau, MFT, PH.D

• All providers in Beverly Hills, CA
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.

Verify at the official NPI Registry.