Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Mary Chung-Ning Duong, PAC

Individual provider Oncology Clinical Nurse Specialist · NPI 1386607638

Mrs. Mary Chung-Ning Duong, PAC is a Physician Assistant in Los Angeles, California. Qualified in 2000, 26 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
26
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

12414 Exposition Blvd
Los Angeles, CA 90064-1016
Phone: (310) 272-7640
Fax: (310) 272-7656
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA15424 (CA)
Oncology Clinical Nurse Specialist Taxonomy 364SX0200X · Licence PA15424 (CA)

Record details

NPI number1386607638
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedApril 8, 2006
Last updated in NPPESJuly 7, 2021
Certification dateJuly 7, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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