Individual provider Active NPI

Duane Ray Darnell, DO

  • Internal Medicine Physician
  • Sun City, CA
National Provider Identifier
1831199728
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A4863 Issued in CA
Practice address
27994 Bradley Rd
Ste F
Sun City, CA 92586
Phone
(951) 246-1366
Fax
(951) 246-1466
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A4863 CA Primary

Addresses

Primary practice location

27994 Bradley Rd
Ste F
Sun City, CA 92586

Mailing address

27994 Bradley Rd
Ste F
Sun City, CA 92586
Phone (951) 246-1366

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041018000325 CA Practitioner - Internal Medicine 2567422272 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4863CAMDSpecialist
20A4863CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Living Waters Hospice California LLC CurrentSince Nov 24, 2023 Accepting new patients
Shafi Siddiqi MD a Professional Corporation PastSince Mar 1, 2014 Accepting new patients
Menifee Valley Medical Association Internal Medicine Past Accepting new patients

Locations

22300 Van Buren Blvd
Ste 102
Riverside, CA 92518
Phone (909) 315-8113

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1831199728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27994 BRADLEY RD",
            "address_2": "STE F",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "92586",
            "telephone_number": "951-246-1366",
            "fax_number": "951-246-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27994 BRADLEY RD",
            "address_2": "STE F",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "92586",
            "telephone_number": "951-246-1366",
            "fax_number": "951-246-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARNELL",
        "first_name": "DUANE",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A4863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, CA

Sources for this page

Verify at the official NPI Registry.