Damayanthi Durairaj, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

00A39805 Issued in CA

Practice address

1574 W Base Line St
Suite 107
San Bernardino, CA 92411-1736

Phone

(909) 386-1880

Fax

(909) 386-1882

NPI assigned

Apr 10, 2006

Last updated

Oct 17, 2008By the provider in NPPES

Sex

Female

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Marcos Medical Group IncGroup PAC ID 0749222495, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: damayanthi.durairaj.p1@direct.metro.nextgenshare.com

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.

• San Marcos Medical Group Inc

  dba Summit Family Health Center

  • Obstetrics & Gynecology Physician
  • Fontana, CA
  • NPI 1447446448
  Medicare reassignment Care Compare group NPD
• Dignity Health

  dba St. Bernardine Medical Center

  • General Acute Care Hospital
  • San Bernardino, CA
  • NPI 1689769911
  NPD (past)
• San Marcos Medical Group Inc.

  dba metropolitan family medical clinic

  • Family Nurse Practitioner
  • San Bernardino, CA
  • NPI 1184674830
  NPD (past)
• San Marcos Medical Group Inc.

  dba metropolitan family medical clinic

  • Family Medicine Physician
  • San Bernardino, CA
  • NPI 1548210297
  NPD (past)
• San Marcos Medical Group Inc.

  dba Metropolitan Fammily Medical Clinic

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1639129372
  NPD (past)
• San Marcos Medical Group Inc.

  dba metropolitan family medical clinic inc.

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1952351686
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1508829714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19726 SEGOVIA LN",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928862841",
            "telephone_number": "909-881-7320",
            "fax_number": "909-881-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1574 W BASE LINE ST",
            "address_2": "SUITE 107",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111736",
            "telephone_number": "909-386-1880",
            "fax_number": "909-386-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAIRAJ",
        "first_name": "DAMAYANTHI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "00A39805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ruth Duccini, LMFT
• Mariana Duenas, PT
• Jacqueline Duenez
• Jennifer A Dunbar, M.D.
• Minh Quang Duong, PTA
• Destiny Duran
• Diana Del Carmen Duran
• Jason M Duran
• Melissa Marie Duran
• Sandra Duran

• General Practice Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.