Ebrahim Duel, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A33882 Issued in CA

Practice address

301 N Main St
Santa Ana, CA 92701-4852

Phone

(714) 547-6641

Fax

(714) 541-8161

NPI assigned

Jul 31, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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 Medicine Inc.

  • Federally Qualified Health Center (FQHC)
  • Santa Ana, CA
  • NPI 1578136834
  Medicare reassignment NPD
• Ebrahim Duel M.D. Inc

  • Specialist
  • Santa Ana, CA
  • NPI 1053678920
  Authorized official Same address or phone
• La Clinica

  • Specialist
  • Santa Ana, CA
  • NPI 1811166846
  NPD (past) Authorized official
• Community Medicine Inc

  dba Community Medical Center

  • Federally Qualified Health Center (FQHC)
  • Bellflower, CA
  • NPI 1497397806
  NPD

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1659386027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N MAIN ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014852",
            "telephone_number": "714-547-6641",
            "fax_number": "714-541-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N MAIN ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014852",
            "telephone_number": "714-547-6641",
            "fax_number": "714-541-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUEL",
        "first_name": "EBRAHIM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-03-07",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A33882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A338821",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Duarte, MA
• Vanessa Duarte
• Karen Dubon, QASP-S
• Rosa Helen Dudic, P.T.
• Ryan Due
• Alyssa Rene Duenez-Rocha
• Trenten Andrew Duff, CCAPP
• John Gregory Duffy, MD
• Andrew Ralph Dufort
• Matthew Duhadway

• Specialist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.