Active NPI
Hao Quang Duong, M.D.
- Psychiatry Physician
- San Jose, CA
National Provider Identifier
1952446304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A42116
- Practice address
- 173 N Morrison Ave
Suite I
San Jose, CA 95126-2712 - Phone
- (408) 297-3022
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A42116 | CA | Primary |
Addresses
Primary practice location
173 N Morrison Ave
Suite I
San Jose, CA 95126-2712
Mailing address
173 N Morrison Ave
Suite I
San Jose, CA 95126-2712
Phone (408) 297-3022
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A421160 | Medicaid | CA | |
| 0001003361 | Other | CA | SANTA CLARA CO. MH DEPT. |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A42116 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952446304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 N MORRISON AVE",
"address_2": "SUITE I",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262712",
"telephone_number": "408-297-3022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 N MORRISON AVE",
"address_2": "SUITE I",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262712",
"telephone_number": "408-297-3022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUONG",
"first_name": "HAO",
"middle_name": "QUANG",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A42116",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A421160",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANTA CLARA CO. MH DEPT.",
"identifier": "0001003361",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.