ANTONIO DURAZO MD INC NPI 1194865543

NPI Information

  • NPI: 1194865543
  • Provider Name: ANTONIO DURAZO MD INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: MORINDA MEDICAL GROUP
  • CLIA Number: 05D0585488
  • Address: 841 W MORTON AVE
    PORTERVILLE, CA
    ZIP 93257
  • Phone: (559) 781-8080

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NPI Details

ANTONIO DURAZO MD INC is a family medicine in Porterville, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ANTONIO DURAZO MD INC NPI is 1194865543. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Morinda Medical Group.

The provider's business location address is:

841 W MORTON AVE
PORTERVILLE, CA
ZIP 93257-184
Phone: (559) 781-8080
Fax: (559) 781-8960

The provider's authorized official is Antonio Durazo .
The authorized official title is Owner and has the following contact phone number (559) 781-8080.

The CLIA number assigned to this NPI record is 05D0585488 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 2/21/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100G486421MEDICARE PINCALIFORNIA
2ZZZ31838ZMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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