Active NPI
Duane Emil McWaine, MD
- Psychiatry Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G056319
- Practice address
- 1314 Westwood Blvd
Suite 101D
Los Angeles, CA 90024-4902 - Phone
- (310) 474-5055
- NPI assigned
- Feb 16, 2007
- Last updated
- Jan 16, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G056319 | CA | Primary |
Addresses
Primary practice location
1314 Westwood Blvd
Suite 101D
Los Angeles, CA 90024-4902
Mailing address
800 S Victoria Ave, L4615
Vchca - Physician Services
Ventura, CA 93009-0003
Phone (805) 677-5181
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
560 Cohasset Rd
Suite 175
Chico, CA 95926-2460
Phone (530) 891-2784
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G056319 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Butte | Current | Accepting new patients | |
| Traditions Psychiatry Group, P.C | Psychiatry | Current | Accepting new patients |
| County of Butte | Current | Accepting new patients | |
| County of Butte | Current | Accepting new patients |
Locations
560 Cohasset Rd
Ste 175
Chico, CA 95926
Phone (530) 552-5076
3217 Cohasset Rd
Cohasset, CA 95973
Phone (530) 552-4578
995 Spruce St
Gridley, CA 95948
Phone (530) 846-7305
1580 1st St
Napa, CA 94559
Phone (707) 200-8225
1287 Fulton Rd
Santa Rosa, CA 95401
Phone (707) 543-2031
Organizations & group practices 4
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.
-
- Adult Mental Health Clinic/Center
- Chico, CA
- NPI 1578623583
-
dba Traditions Behavioral Health
- Psychiatry Physician
- Santa Rosa, CA
- NPI 1083802979
-
- Adult Mental Health Clinic/Center
- Oroville, CA
- NPI 1043371727
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Paradise, CA
- NPI 1174161343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1629112123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 S VICTORIA AVE, L4615",
"address_2": "VCHCA - PHYSICIAN SERVICES",
"city": "VENTURA",
"state": "CA",
"postal_code": "930090003",
"telephone_number": "805-677-5181",
"fax_number": "805-677-5304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 WESTWOOD BLVD",
"address_2": "SUITE 101D",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900244902",
"telephone_number": "310-474-5055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCWAINE",
"first_name": "DUANE",
"middle_name": "EMIL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G056319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.