Son Duong (NPI# 1982880928, PAC ID# 9133288723) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1982880928 |
| PAC ID by PECOS | 9133288723 |
| Professional Enrollment ID | I20081202000157 |
| Full Name | Son Duong |
| Organization Legal Name | ORANGE COUNTY VASCULAR AND ENDOVASCULAR SURGERY CENTER INC |
| Address |
11190 Warner Ave Suite 408 Fountain Valley CA 92708-4047 |
| Phone Number | 7144301414 |
| Gender | M |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 5698834281 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050570 | FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER |
| 050678 | ORANGE COAST MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11190 Warner Ave, Suite 408, Fountain Valley, CA 92708-4047 | 7144301414 | ORANGE COUNTY VASCULAR AND ENDOVASCULAR SURGERY CENTER INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | ORANGE COUNTY VASCULAR AND ENDOVASCULAR SURGERY CENTER INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Avalos Piguillem | Nurse Practitioner | Orange County Vascular and Endovascular Surgery Center Inc | 11190 Warner Ave, Suite 408, Fountain Valley, CA 92708-4047 |
| Antonio Javier Covarrubias | Vascular Surgery | Orange County Vascular and Endovascular Surgery Center Inc | 11190 Warner Ave, Suite 408, Fountain Valley, CA 92708-4047 |
| Street Address |
11190 WARNER AVE SUITE 408 |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip | 92708-4047 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jawad Khan | Orthopedic Surgery | John P Kelly A Professional Medical Corporation | 11190 Warner Ave, Suite 300, Fountain Valley, CA 92708-4045 |
| Jason A Grieshober | Orthopedic Surgery | John P Kelly A Professional Medical Corporation | 11190 Warner Ave, Suite 300, Fountain Valley, CA 92708-4045 |
| Lydia C Lee | Orthopedic Surgery | John P Kelly A Professional Medical Corporation | 11190 Warner Ave, Suite 300, Fountain Valley, CA 92708-4045 |
| Hoang T Le | Pulmonary Disease | 11190 Warner Ave, Suite 403, Fountain Valley, CA 92708-4047 | |
| Peyton Ruple | Physician Assistant | John P Kelly A Professional Medical Corporation | 11190 Warner Ave, Suite 300, Fountain Valley, CA 92708-4045 |
| Richard C Raczka | Orthopedic Surgery | John P Kelly A Professional Medical Corporation | 11190 Warner Ave, Suite 300, Fountain Valley, CA 92708-4045 |
| Andrea Avalos Piguillem | Nurse Practitioner | Orange County Vascular and Endovascular Surgery Center Inc | 11190 Warner Ave, Suite 408, Fountain Valley, CA 92708-4047 |
| Tien T Nguyen | Orthopedic Surgery | Tien T Nguyen M.d. Inc. | 11190 Warner Ave, Suite 305, Fountain Valley, CA 92708-4047 |
| Peter Pyrko | Orthopedic Surgery | John P Kelly A Professional Medical Corporation | 11190 Warner Ave, Suite 300, Fountain Valley, CA 92708-4045 |
| Brian Van | Physician Assistant | Tien T Nguyen M.d. Inc. | 11190 Warner Ave, Suite 305, Fountain Valley, CA 92708-4047 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ranjan Sapra | Hematology/oncology | 11190 Warner Ave, Suite 405, Fountain Valley, CA 92708-0000 | |
| Kinh Tu Tran | Family Medicine | 15975 Harbor Blvd, Fountain Valley, CA 92708-1303 | |
| Hiep Truong | Obstetrics/gynecology | 15975 Harbor Blvd, Fountain Valley, CA 92708-1303 | |
| Anh Linh T Nguyen | Optometry | 16125 Harbor Blvd, Fountain Valley, CA 92708-1305 | |
| Hoang T Nguyen | Internal Medicine | 16040 Harbor Blvd G, Fountain Valley, CA 92708-1327 | |
| Tuan Manh Hoang | Oral Surgery | 16045 Brookhurst St, Fountain Valley, CA 92708-1544 | |
| Raif W Iskander | Physician Assistant | Xtra Care Medical Group | 16171 Brookhurst St, Fountain Valley, CA 92708-1550 |
| Phong Huy Bui | Internal Medicine | 16055 Brookhurst St, Suite C, Fountain Valley, CA 92708-1566 | |
| Gordon K Ota | Optometry | Nhat Le-huynh Od A Professional Corporation | 10130 Warner Ave, Suite J, Fountain Valley, CA 92708-1619 |
| Kim Nhat Nguyen Le Huynh | Optometry | Nhat Le-huynh Od A Professional Corporation | 10130 Warner Ave, Suite J, Fountain Valley, CA 92708-1619 |
| Find all physicians in zip 92708 | |||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | FOUNTAIN VALLEY + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Son Duong.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.