Individual provider Active NPI

Dat N Duong, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Irvine, CA
National Provider Identifier
1972844561
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
16433 Issued in CA
Practice address
2500 Alton Pkwy Ste 101
Irvine, CA 92606-5032
Phone
(949) 222-2722
Fax
(949) 222-9969
NPI assigned
Mar 7, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Anesthesiology) Physician 207LA0401X 16433 CA
Pain Medicine Physician 208VP0000X 16433 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X 16433 CA Primary

Addresses

Primary practice location

2500 Alton Pkwy Ste 101
Irvine, CA 92606-5032

Mailing address

PO Box 1436
Garden Grove, CA 92842-1436
Phone (586) 604-2929

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180731002674 CA Practitioner - Pain ManagementPractitioner - Anesthesiology 8022310556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Michigan State University College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14361 Beach Blvd
Suite 203
Westminster, CA 92683-8140
Phone (714) 646-4991

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
360 Family Clinic, Inc. CurrentSince Nov 1, 2020 Accepting new patients
Dat N Duong DO Medical Corp Pain Medicine CurrentSince Jan 10, 2020 Accepting new patients

Locations

645 Aerick St
Ste 3
Inglewood, CA 90301
Phone (310) 431-4926

14361 Beach Blvd
Ste 204
Westminster, CA 92683
Phone (949) 774-2890

14361 Beach Blvd
Ste 203
Westminster, CA 92683
Phone (714) 646-4991

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1972844561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1436",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928421436",
            "telephone_number": "586-604-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ALTON PKWY STE 101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065032",
            "telephone_number": "949-222-2722",
            "fax_number": "949-222-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "DAT",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-07",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "CA",
            "license": "16433",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "16433",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "16433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.