Ken Ducker, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G30162 Issued in CA

Practice address

20126 Stanton Ave Ste 200
Castro Valley, CA 94546-5270

Phone

(510) 881-4210

Fax

(510) 881-4213

NPI assigned

Sep 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• UCSF Health Medical Foundation

  • Multi-Specialty Clinic/Center
  • Oakland, CA
  • NPI 1922124866
  Medicare reassignment NPD

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922101963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20126 STANTON AVE STE 200",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465270",
            "telephone_number": "510-881-4210",
            "fax_number": "510-881-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20126 STANTON AVE STE 200",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465270",
            "telephone_number": "510-881-4210",
            "fax_number": "510-881-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKER",
        "first_name": "KEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G30162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Dorado
• Douglas J Abeles, MD, Inc.
• Douglas J. Abeles M.D. Inc
• Dr Nabil Abudayeh
• Noga Dreifuss, MFT
• Robert H Duey, PHARM D
• Joann Dumas, FNP
• Irene Ang Dy, MD
• Thomas Eales, DO
• East Bay Medical Surgical Center LP

• Pediatrics Physician in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.