Individual provider Active NPI

Son Duong, M.D.

  • Vascular Surgery Physician
  • Fountain Valley, CA
National Provider Identifier
1982880928
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A73996 Issued in CA
Practice address
11190 Warner Ave
Suite 301
Fountain Valley, CA 92708-4019
Phone
(714) 430-1414
Fax
(714) 430-1486
NPI assigned
Jan 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X A73996 CA Primary

Addresses

Primary practice location

11190 Warner Ave
Suite 301
Fountain Valley, CA 92708-4019

Mailing address

11190 Warner Ave
Suite 301
Fountain Valley, CA 92708-4019
Phone (714) 430-1414

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
I20081202000157 CA Practitioner - Vascular Surgery 9133288723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Temple University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11190 Warner Ave
Suite 408
Fountain Valley, CA 92708-4047
Phone (714) 430-1414

Hospital & facility affiliations

  • Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

Merit-based Incentive Payment System (MIPS)

Final score
94.76 of 100Reported as individual
Quality
82.38
Improvement activities
40
Cost
72.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal107
Leg revascularization (restoring blood flow)96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A73996CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camdson Inc CurrentSince Nov 28, 2023 Accepting new patients
Orange County Vascular & Endovascular Surgery Center, Inc. Vascular Surgery CurrentSince Aug 1, 2008 Accepting new patients
Orange County Vascular and Endovascular Surgery Center Inc CurrentSince Aug 1, 2008 Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients

Locations

11190 Warner Ave
Ste 301
Fountain Valley, CA 92708
Phone (714) 430-1414

11190 Warner Ave
Ste 400
Fountain Vly, CA 92708
Phone (714) 356-1238

11100 Warner Ave
Ste 158
Fountain Vly, CA 92708
Phone (714) 432-8884

11190 Warner Ave
Ste 408
Fountain Vly, CA 92708
Phone (714) 430-1414

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sduong77048@direct.memorialcare.org

Organizations & group practices 6

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 3

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": "1200700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1982880928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE",
            "address_2": "SUITE 301",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084019",
            "telephone_number": "714-430-1414",
            "fax_number": "714-430-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE",
            "address_2": "SUITE 301",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084019",
            "telephone_number": "714-430-1414",
            "fax_number": "714-430-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "SON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-19",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A73996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.