Active NPI
Marilyn Limfueco Duban, M.D.
- Anesthesiology Physician
- Encino, CA
National Provider Identifier
1902875982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A76592
- Practice address
- 15910 Ventura Blvd
Suite 1502
Encino, CA 91436-2802 - Phone
- (818) 728-9877
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A76592 | CA | Primary |
Addresses
Primary practice location
15910 Ventura Blvd
Suite 1502
Encino, CA 91436-2802
Mailing address
PO Box 2757
Orange, CA 92859-0757
Phone (714) 973-2650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A765920 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040903001150 | CA | Practitioner - Anesthesiology | 2961478540 | Practice locations: Paramount, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
16453 Colorado Ave
Paramount, CA 90723-5011
Phone (562) 531-3110
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A76592 | CA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431302400000",
"number": "1902875982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2757",
"city": "ORANGE",
"state": "CA",
"postal_code": "928590757",
"telephone_number": "714-973-2650",
"fax_number": "714-973-2655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15910 VENTURA BLVD",
"address_2": "SUITE 1502",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362802",
"telephone_number": "818-728-9877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBAN",
"first_name": "MARILYN",
"middle_name": "LIMFUECO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2015-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A76592",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A765920",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.