Individual provider Active NPI

Catalino Dominic Dureza, M.D.

  • Neurological Surgery Physician
  • Fresno, CA
National Provider Identifier
1871648840
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A66607 Issued in CA
Practice address
5339 N Fresno St
Suite#103
Fresno, CA 93710-6851
Phone
(559) 554-2145
Fax
(760) 262-3946
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X A66607 CA Primary

Addresses

Primary practice location

5339 N Fresno St
Suite#103
Fresno, CA 93710-6851

Mailing address

5339 N Fresno St
Suite#103
Fresno, CA 93710-6851
Phone (559) 554-2145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A66607CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Neurosurgery and Spine Current Accepting new patients
Universal Care Medical Group Neurological Surgery Current Accepting new patients
Catalino D Dureza, MD Inc Neurological Surgery Past Accepting new patients
Kern County Neurological Medical Group, Inc PastSince Jan 1, 2000 Accepting new patients

Locations

1705 28th St
Bakersfield, CA 93301
Phone (661) 322-3008

Organizations & group practices 4

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1871648840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5339 N FRESNO ST",
            "address_2": "SUITE#103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106851",
            "telephone_number": "559-554-2145",
            "fax_number": "760-262-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5339 N FRESNO ST",
            "address_2": "SUITE#103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106851",
            "telephone_number": "559-554-2145",
            "fax_number": "760-262-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUREZA",
        "first_name": "CATALINO",
        "middle_name": "DOMINIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A66607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.