Melvin James Dueck, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11742 Issued in CA

Practice address

21213 Hawthorne Blvd Ste B
#5603
Torrance, CA 90503-5522

Phone

(714) 515-5558

Fax

(888) 807-7965

NPI assigned

Feb 5, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1619016904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21213 HAWTHORNE BLVD STE B",
            "address_2": "#5603",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035522",
            "telephone_number": "714-515-5558",
            "fax_number": "888-807-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21213 HAWTHORNE BLVD STE B",
            "address_2": "#5603",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035522",
            "telephone_number": "714-515-5558",
            "fax_number": "888-807-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUECK",
        "first_name": "MELVIN",
        "middle_name": "JAMES",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "11742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LIC #",
            "identifier": "11742",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Le Du, M.D.
• Gloria B Duane, M.D.
• Robby H Duarte, MS
• John Phillip Ducar, D.D.S.
• Takhie Dudley
• Dolores Duenes-Kreig, M.D.
• Michael Drew Duffin, M.D.
• Steven Ray Dufour Jr.
• Patricia M. Dugan, M.S.W.
• Raj U Dugel, M.D.

• Family Nurse Practitioner in Torrance, CA
• Providers in Torrance, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.