Individual provider Active NPI

Hoang Minh Duong, M.D.

  • Dermatology Physician
  • Milpitas, CA
National Provider Identifier
1508193889
Registry record updated Jul 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
C53823 Issued in CA
Practice address
991 Montague Expy
Ste 104
Milpitas, CA 95035-6809
Phone
(408) 263-6073
Fax
(408) 263-6077
NPI assigned
Nov 7, 2009
Last updated
Jul 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X C53823 CA Primary

Addresses

Primary practice location

991 Montague Expy
Ste 104
Milpitas, CA 95035-6809

Mailing address

991 Montague Expy
Ste 104
Milpitas, CA 95035-6809
Phone (408) 263-6073

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C53823CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hong DO MD a Professional Corporation Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1257552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468022400000",
    "number": "1508193889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 MONTAGUE EXPY",
            "address_2": "STE 104",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356809",
            "telephone_number": "408-263-6073",
            "fax_number": "408-263-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 MONTAGUE EXPY",
            "address_2": "STE 104",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356809",
            "telephone_number": "408-263-6073",
            "fax_number": "408-263-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "HOANG",
        "middle_name": "MINH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-07",
        "last_updated": "2016-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "C53823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.