Organization Active NPI

KD & Az Medical Group

  • Primary Podiatric Medicine Podiatrist
  • Glendale, CA
National Provider Identifier
1679489256
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
KD & AZ MEDICAL GROUP
Practice address
225 E Broadway Ste 107C
Glendale, CA 91205-4043
Phone
(714) 657-4991
NPI assigned
Aug 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Authorized official

Name
Khanh Tuan Duong, MD
Title
Ceo
Phone
(714) 657-4991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213EP1101X Primary

Addresses

Primary practice location

225 E Broadway Ste 107C
Glendale, CA 91205-4043

Mailing address

225 E Broadway Ste 107C
Glendale, CA 91205-4043
Phone (714) 657-4991

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1787270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1679489256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E BROADWAY STE 107C",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054043",
            "telephone_number": "714-657-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E BROADWAY STE 107C",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054043",
            "telephone_number": "714-657-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KD & AZ MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-21",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "KHANH",
        "authorized_official_middle_name": "TUAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-657-4991",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.