Individual provider Active NPI

Maria Duroseau, M.D

  • Pediatrics Physician
  • Loma Linda, CA
National Provider Identifier
1962733162
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A110431 Issued in CA
Practice address
11175 Campus St
CP-A1111
Loma Linda, CA 92350-1700
Phone
(909) 558-4174
NPI assigned
Jan 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A110431 CA Primary

Addresses

Primary practice location

11175 Campus St
CP-A1111
Loma Linda, CA 92350-1700

Mailing address

54701 File Number
Los Angeles, CA 90074-4701
Phone (909) 558-3311

Other practice location 1

1706 W Agency Rd
West Burlington, IA 52655-1667
Phone (319) 576-3936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201208000448 MI Practitioner - Pediatric Medicine 5496924144 Reassigns benefits to 1 organization
I20240116001814 IA Practitioner - Pediatric Medicine 5496924144 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A110431CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dickinson County Healthcare System Pediatrics CurrentSince Nov 1, 2020 Accepting new patients
Community Health Centers of Southeastern Iowa, Inc CurrentSince Jan 8, 2024 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Community Health Centers of Southeastern Iowa Inc Pediatrics CurrentSince Jan 8, 2024 Accepting new patients

Locations

400 N 17th St
Keokuk, IA 52632
Phone (319) 524-5734

1706 W Agency Rd
West Burlington, IA 52655
Phone (319) 768-5858

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

1711 S Stephenson Ave
Ste 210
Iron Mountain, MI 49801
Phone (906) 776-5800

1010 Olive Ave
Florence, WI 54121
Phone (715) 528-4775

Interoperability endpoints

  • Direct secure messaging: mduroseau680613@direct.ochin.org
  • Direct secure messaging: maria.duroseau@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: mduroseau24759@surescripts.sfmc.net

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": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1962733162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54701 FILE NUMBER",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900744701",
            "telephone_number": "909-558-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11175 CAMPUS ST",
            "address_2": "CP-A1111",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923501700",
            "telephone_number": "909-558-4174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1706 W Agency Rd",
            "address_purpose": "LOCATION",
            "city": "West Burlington",
            "state": "IA",
            "postal_code": "526551667",
            "country_code": "US",
            "telephone_number": "319-576-3936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUROSEAU",
        "first_name": "MARIA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-27",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A110431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.