MRS. MARY CHUNG-NING DUONG PAC
NPI 1386607638
Physician Assistant in Los Angeles, CA

Active since April 08, 2006PECOS EnrolledAccepts Medicare Assignment
12414 EXPOSITION BLVD, LOS ANGELES, CA 90064(310) 272-7640(310) 272-7656 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2021, Aug 18, 2020, Nov 6, 2018 (3 updates tracked since 2018).

About Mrs. Mary Chung-ning Duong Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY CHUNG-NING DUONG PAC (NPI 1386607638) is an individual physician assistant in Los Angeles, California, licensed in California (PA15424) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1386607638
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MARY CHUNG-NING DUONGCredential: PAC
Location Address12414 EXPOSITION BLVDLos Angeles, CA 90064-1016
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (310) 272-7640
Fax(310) 272-7656
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateApril 8, 2006
Last NPPES UpdateJuly 7, 20213 updates tracked since enumeration
NPPES CertifiedJuly 7, 2021
NPI 1386607638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA15424
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedClinical Nurse Specialist · OncologyTaxonomy 364SX0200X · License PA15424 (CA)
12414 EXPOSITION BLVD, Los Angeles, CA 90064

Other Names 1

Other Name (5)Mary Chung-ning Tai Pa

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Mary Chung-ning Duong Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880788900
PECOS Enrollment IDI20070920000381
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
32 services21 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
31 services20 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
30 services19 patients
Lactate dehydrogenase (enzyme) level 83615
A Lactate Dehydrogenase level test measures the amount of this enzyme in your body. It's often done when tissue damage is suspected, as high levels can indicate issues like heart disease, lung disease, liver disease, or blood disorders. This test helps in diagnosing and monitoring these conditions.
28 services18 patients
Psa (prostate specific antigen) measurement, total 84153
PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.
28 services18 patients
Testosterone (hormone) level, total 84403
A total testosterone level test measures the amount of a key hormone in your body. This hormone influences various body functions such as muscle mass, energy levels, and mood. The test involves a simple blood draw, and results help monitor health conditions.
21 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90064 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
12414 EXPOSITION BLVD
LOS ANGELES, CA 90064
Physician Assistant
12414 EXPOSITION BLVD
LOS ANGELES, CA 90064
Internal Medicine (Medical Oncology)
12414 EXPOSITION BLVD
LOS ANGELES, CA 90064
Internal Medicine (Medical Oncology)
12414 EXPOSITION BLVD
LOS ANGELES, CA 90064
Internal Medicine
12414 EXPOSITION BLVD
LOS ANGELES, CA 90064
Physician Assistant
12414 EXPOSITION BLVD
LOS ANGELES, CA 90064
Physician Assistant
12414 EXPOSITION BLVD
LOS ANGELES, CA 90064

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Duong's NPI number?

The NPI number for Mary Duong is 1386607638. It was assigned to this individual provider in the NPPES registry on April 8, 2006. The provider is also known as Mary Chung-Ning Tai PA.

Where is Mary Duong located?

Mary Duong practices at 12414 Exposition Blvd, Los Angeles, CA 90064. The listed phone number is (310) 272-7640.

What is Mary Duong's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mary Duong enrolled in Medicare?

Yes. Mary Duong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mary Duong was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.