Frederick Theodore Dennis, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A37860 Issued in CA

Practice address

18321 Clark St
Tarzana, CA 91356-3501

Phone

(818) 708-5170

Fax

(818) 705-2595

NPI assigned

Jun 3, 2006

Last updated

Jun 13, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• H. Allen Hooper, M.D. a Professional Corporation

  dba Mission Emergency Medical Associates

  • Emergency Medicine Physician
  • Oxnard, CA
  • NPI 1376575118
  NPD (past)
• Pacifica Emergency Medical Associates

  • Emergency Medicine Physician
  • Encino, CA
  • NPI 1053350975
  NPD (past)
• Tarzana Emergency Medical Associates

  • Emergency Medicine Physician
  • Tarzana, CA
  • NPI 1235176702
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1033157003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60039",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910666039",
            "telephone_number": "626-447-0296",
            "fax_number": "626-447-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18321 CLARK ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563501",
            "telephone_number": "818-708-5170",
            "fax_number": "818-705-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "FREDERICK",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A37860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A378600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodi Carol Dembicer-Gross, SLP/RPE
• Hasan Demir
• Tina Demirchian
• Delphine Joanne Demore, PH.D.
• Dennis a. Casciato, M.D., Inc.
• Sean Dennis, PTA
• Kristi Mae Depew, RADT
• Vicken A Derbalian, D.D.S
• Dermamed Professional Corporation
• Brennan Deslauriers, COTA/L

• Emergency Medicine Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.