Active NPI
Marina B Duyongco, RN
- Counselor
- San Diego, CA
National Provider Identifier
1629108469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 286 Euclid Ave
Suite 102
San Diego, CA 92114 - Phone
- (619) 266-2111
- Fax
- (619) 266-0496
- NPI assigned
- Mar 7, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
286 Euclid Ave
Suite 102
San Diego, CA 92114
Mailing address
6556 Crabtree St
San Diego, CA 92114
Phone (619) 266-2111
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)
- Not enrolled
- Credentials
- Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629108469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6556 CRABTREE ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92114",
"telephone_number": "619-266-2111",
"fax_number": "619-266-0496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "286 EUCLID AVE",
"address_2": "SUITE 102",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92114",
"telephone_number": "619-266-2111",
"fax_number": "619-266-0496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUYONGCO",
"first_name": "MARINA",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
- Elizabeth Duvall, PSYD
- Erick Duvall, RBT
- Mary Elizabeth Duvall, D.P.T.
- Beau Vance Duwe, M.D.
- Diana Timbang Duyn, BCAT
- Dva Renal Healthcare Inc (San Diego South Dialysis)
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- Dva Renal Healthcare Inc (Carmel Mountain Dialysis)
- Dva Renal Healthcare Inc (San Diego East Dialysis)
- Dva Renal Healthcare Inc (College Dialysis)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.