Individual provider Active NPI

Christine Duranceau, MD

  • Emergency Medicine Physician
  • La Quinta, CA
National Provider Identifier
1750379970
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0042132-020 Issued in WI
Practice address
45280 Seeley Dr
La Quinta, CA 92253-6834
Phone
(815) 541-0666
NPI assigned
Oct 11, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0042132-020 WI Primary
Emergency Medicine Physician 207P00000X G48641 CA

Addresses

Primary practice location

45280 Seeley Dr
La Quinta, CA 92253-6834

Mailing address

45280 Seeley Dr
La Quinta, CA 92253-6834
Phone (815) 541-0666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48641CAMDGeneral Practice Dentistry
G48641CAMDEmergency Medicine Physician
0042132-020WIMDEmergency Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1750379970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45280 SEELEY DR",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922536834",
            "telephone_number": "815-541-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45280 SEELEY DR",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922536834",
            "telephone_number": "815-541-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURANCEAU",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "0042132-020",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G48641",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

Verify at the official NPI Registry.