Organization Active NPI

Tao Hong Duong, M.D., Inc.

  • Cardiovascular Disease Physician
  • Westminster, CA
National Provider Identifier
1962432138
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G68522 Issued in CA
Legal business name
TAO HONG DUONG, M.D., INC.
Practice address
10301 Bolsa Ave
Westminster, CA 92683-6784
Phone
(714) 418-9191
Fax
(714) 418-9195
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Dr. Tao Hong Duong, M.D.NPI 1235163726
Title
President
Phone
(714) 418-9191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X G68522 CA Primary

Addresses

Primary practice location

10301 Bolsa Ave
Westminster, CA 92683-6784

Mailing address

10301 Bolsa Ave
Westminster, CA 92683-6784
Phone (714) 418-9191

Other identifiers 2

IdentifierTypeStateIssuer
00G685220MedicaidCA
FO373AOtherCAMEDICARE PTAN (CORPORATION)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111117000146 CA Part B Supplier - Clinic/Group Practice 1850565482 Receives reassigned benefits from 1 practitioner
Practice locations: Westminster, CA

National Provider Directory

National Provider Directory

Locations

10301 Bolsa Ave
Ste 209
Westminster, CA 92683
Phone (714) 418-9191

10301 Bolsa Ave
Westminster, CA 92683
Phone (714) 418-9191

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1962432138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 BOLSA AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836784",
            "telephone_number": "714-418-9191",
            "fax_number": "714-418-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 BOLSA AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836784",
            "telephone_number": "714-418-9191",
            "fax_number": "714-418-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAO HONG DUONG, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "TAO",
        "authorized_official_middle_name": "HONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-418-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G68522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G685220",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (CORPORATION)",
            "identifier": "FO373A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.