Matthew Duda

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A143152 Issued in CA

Practice address

11845 W Olympic Blvd
Suite 900 West
Los Angeles, CA 90064

Phone

(844) 644-4325

NPI assigned

May 14, 2014

Last updated

Jul 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ad Medical Corporation

  • Internal Medicine Physician
  • Pacific Palisades, CA
  • NPI 1669928560
  NPD (past)
• Prohealth Partners a Medical Group Inc

  • Internal Medicine Physician
  • Lakewood, CA
  • NPI 1093848509
  NPD (past)
• Heal Doctors Ihwa, P.C.

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1447917125
  NPD (past)

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1992116735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 W ORANGEWOOD AVE STE 105",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928685052",
            "telephone_number": "714-634-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11845 W OLYMPIC BLVD",
            "address_2": "SUITE 900 WEST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90064",
            "telephone_number": "844-644-4325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1880 Century Park E Ste 711",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900671618",
            "country_code": "US",
            "telephone_number": "844-644-4325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDA",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-14",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A143152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Stephen Dubroff, ND
• William Duche
• Jacob Judah Duchman, LCSW
• Gary Duckwiler, MD
• Jaime Ducreux, MSW
• Vinay Anant Duddalwar, M.D.
• Ryszard Dudek, MD
• Karen Dudley, MFT
• Maria Antwinette Dudley, APRN, FNP
• Shoshana Dudley

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.