Active NPI
Kevin Duran, SUDRC
- Addiction (Substance Use Disorder) Counselor
- South Gate, CA
National Provider Identifier
1649854860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 4363 Tweedy Blvd
South Gate, CA 90280-6236 - Phone
- (323) 378-2009
- Fax
- (213) 395-9592
- NPI assigned
- May 12, 2021
- Last updated
- May 12, 2021
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CA | Primary |
Addresses
Primary practice location
4363 Tweedy Blvd
South Gate, CA 90280-6236
Mailing address
4363 Tweedy Blvd
South Gate, CA 90280-6236
Phone (323) 378-2009
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kevin@compatior.org | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compatior, Inc. | Past | Accepting new patients | |
| Compatior, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- South Gate, CA
- NPI 1417396060
-
- Community/Behavioral Health Agency
- South Gate, CA
- NPI 1609235902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1649854860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4363 TWEEDY BLVD",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902806236",
"telephone_number": "323-378-2009",
"fax_number": "213-395-9592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4363 TWEEDY BLVD",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902806236",
"telephone_number": "323-378-2009",
"fax_number": "213-395-9592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURAN",
"first_name": "KEVIN",
"credential": "SUDRC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-12",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kevin@compatior.org",
"affiliation": "N",
"endpointDescription": "kevin@compatior.org",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4363 Tweedy Blvd",
"city": "South Gate",
"state": "CA",
"country_code": "US",
"postal_code": "902806236",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in South Gate, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.