Active NPI
Steven L Dotson
- Other Technician
- Los Angeles, CA
National Provider Identifier
1003665043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- R1543370124
- Practice address
- 2424 Wilshire Blvd Apt 507
Los Angeles, CA 90057-3352 - Phone
- (213) 586-4484
- NPI assigned
- May 13, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | R1543370124 | CA | Primary |
Addresses
Primary practice location
2424 Wilshire Blvd Apt 507
Los Angeles, CA 90057-3352
Mailing address
2424 Wilshire Blvd Apt 507
Los Angeles, CA 90057-3352
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1543370124 | CA | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1003665043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2424 WILSHIRE BLVD APT 507",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900573352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 WILSHIRE BLVD APT 507",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900573352",
"telephone_number": "213-586-4484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOTSON",
"first_name": "STEVEN",
"middle_name": "L",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-13",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "CA",
"license": "R1543370124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.