Gloria Lynn Duarte, MSN, WHNP, RN

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

9009 Issued in CA

Practice address

6969 Brockton Ave., Suite a & B
Riverside, CA 92506-4001

Phone

(951) 530-8989

Fax

(951) 530-8877

NPI assigned

Mar 5, 2008

Last updated

Nov 17, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ms. Gloria Lynn Bandoni Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

Practice roles

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.

• Paulus Santoso MD a Professional Corporation

  • Obstetrics Physician
  • Riverside, CA
  • NPI 1093042970
  NPD (past)

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1659541738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6969 BROCKTON AVE., SUITE A & B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92506",
            "telephone_number": "951-503-8989",
            "fax_number": "951-530-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6969 BROCKTON AVE., SUITE A & B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064001",
            "telephone_number": "951-530-8989",
            "fax_number": "951-530-8877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3838 Sherman Dr",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925034001",
            "country_code": "US",
            "telephone_number": "951-343-1700",
            "fax_number": "951-343-1777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUARTE",
        "first_name": "GLORIA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MSN, WHNP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "9009",
            "primary": true
        },
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "CA",
            "license": "9009",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "BANDONI",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "MSN, WHNP, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Marie Dryan, LCSW
• Daphne Du
• Nathalie Du
• Angelina Duarte
• Edder Ramon Duarte, MD, PHD
• Maritsa Duarte
• Noel Duarte
• Nora Viridiana Duarte
• Ruby Duarte
• Samantha Duarte

• Obstetrics & Gynecology Nurse Practitioner in Riverside, CA
• Providers in Riverside, CA by specialty
• Obstetrics & Gynecology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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.