Individual provider Active NPI

Vanessa Nicole Duran, OTR/L, OTD

  • Occupational Therapist
  • Escondido, CA
National Provider Identifier
1831809813
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
26762 Issued in CA
Practice address
215 S Hickory St Ste 112
Escondido, CA 92025-4360
Phone
(760) 737-8460
NPI assigned
Nov 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Occupational Therapist 225X00000X 26762 CA Primary

Addresses

Primary practice location

215 S Hickory St Ste 112
Escondido, CA 92025-4360

Mailing address

215 S Hickory St Ste 112
Escondido, CA 92025-4360
Phone (760) 737-8460

Other practice location 1

2650 E Foothill Blvd
Pasadena, CA 91107-3439
Phone (626) 577-2261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918003452 CA Practitioner - Occupational Therapist in Private Practice 6709327679 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Star Physical TherapyGroup PAC ID 7719030949, 149 clinicians

Practice addresses (Care Compare)

1338 Main St
Ramona, CA 92065-2127
Phone (760) 789-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MDRS Spine & Sport, Inc Occupational Therapist CurrentSince Feb 18, 2025 Accepting new patients
MDRS Spine & Sport, Inc Occupational Therapist CurrentSince Feb 18, 2025 Accepting new patients
All Star Physical Therapy CurrentSince Aug 8, 2024 Accepting new patients

Locations

450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781

1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104

215 S Hickory St
Ste 112
Escondido, CA 92025
Phone (760) 737-8460

14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142

24630 Washington Ave
Ste 201
Murrieta, CA 92562
Phone (951) 200-3620

2335 Vista Way
Oceanside, CA 92054
Phone (760) 547-2666

450 W Palmdale Blvd
Palmdale, CA 93551
Phone (661) 273-5333

1338 Main St
Ramona, CA 92065
Phone (760) 789-1400

8215 Rochester Ave
Ste 110
Rancho Cucamonga, CA 91730
Phone (909) 892-3020

9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962

1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180

29645 Rancho California Rd
Ste 234
Temecula, CA 92591
Phone (951) 506-3001

5850 Canoga Ave
Ste 120
Woodland Hills, CA 91367
Phone (747) 255-4089

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

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": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1831809813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S HICKORY ST STE 112",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254360",
            "telephone_number": "760-737-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S HICKORY ST STE 112",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254360",
            "telephone_number": "760-737-8460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 E Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911073439",
            "country_code": "US",
            "telephone_number": "626-577-2261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURAN",
        "first_name": "VANESSA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "OTR/L, OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-30",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "26762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.