Dat N Duong DO Medical Corp

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

DAT N DUONG DO MEDICAL CORP

Practice address

5451 La Palma Ave Ste 32
La Palma, CA 90623-1731

Phone

(586) 604-2929

Fax

(940) 514-8085

NPI assigned

Oct 13, 2020

Last updated

Oct 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dat Nguyen Khanh Duong, DONPI 1972844561

Title

President

Phone

(586) 604-2929

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dat N Duong, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Irvine, CA
  • NPI 1972844561
  Medicare reassignment NPD Authorized official
• Thuy Nguyen, M.D.

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1891015871
  NPD
• Martin Andrew Garcia, M.D.

  • Otolaryngology Physician
  • La Palma, CA
  • NPI 1356344170
  NPD (past)

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1710585633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 CAPE CANAVERAL AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085046",
            "telephone_number": "586-604-2929",
            "fax_number": "940-514-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5451 LA PALMA AVE STE 32",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231731",
            "telephone_number": "586-604-2929",
            "fax_number": "940-514-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAT N DUONG DO MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "DAT",
        "authorized_official_middle_name": "NGUYEN KHANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-604-2929",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "938594",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• D & E Homes, Inc. (All State Home)
• Hansal Dalal
• Dana Acupuncture
• Kathleen Dano
• Richard Dano
• David Lee, M.D., Inc
• Elizabeth Davis
• Elizabeth De la Torre
• Noel Deanda
• Deborah Flores-Contreras Elyza Deborah Flores-Contreras

• Pain Medicine (Anesthesiology) Physician in La Palma, CA
• Providers in La Palma, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.