Active NPI
Thomas Joseph Duralde, MD
- Family Medicine Physician
- Hawthorne, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G52204
- Practice address
- 5400 W Rosecrans Ave
Suite 100
Hawthorne, CA 90250-6609 - Phone
- (310) 727-1723
- Fax
- (310) 643-9707
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G52204 | CA | Primary |
Addresses
Primary practice location
5400 W Rosecrans Ave
Suite 100
Hawthorne, CA 90250-6609
Mailing address
5400 W Rosecrans Ave
Hawthorne, CA 90250-6609
Phone (310) 727-1723
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G52204 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Family Medicine | Current | Accepting new patients |
Locations
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
5400 W Rosecrans Ave
Hawthorne, CA 90250
Phone (310) 643-8500
5400 W Rosecrans Ave
Ste 100
Hawthorne, CA 90250
Phone (310) 643-8500
601 Torrance Blvd
#1182
Redondo Beach, CA 90277
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.
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- NPI 1659312593
Family Medicine
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- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352073600000",
"number": "1982644043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 W ROSECRANS AVE",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902506609",
"telephone_number": "310-727-1723",
"fax_number": "310-536-0495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 W ROSECRANS AVE",
"address_2": "SUITE 100",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902506609",
"telephone_number": "310-727-1723",
"fax_number": "310-643-9707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURALDE",
"first_name": "THOMAS",
"middle_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2012-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G52204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.