NPIMap

Organization Active NPI

Daniel D Dobalian MD a Medical Corporation

  • Obstetrics & Gynecology Physician
  • Orange, CA
National Provider Identifier
1063519668
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G419260 Issued in CA
Legal business name
DANIEL D DOBALIAN MD A MEDICAL CORPORATION
Practice address
2617 E Chapman Ave
Suite #312
Orange, CA 92869
Phone
(714) 633-4260
Fax
(714) 633-2830
NPI assigned
Sep 19, 2006
Last updated
Apr 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Authorized official

Name
Dr. Daniel David Dobalian, MDNPI 1578743894
Title
President
Phone
(714) 633-4260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G419260 CA Primary

Addresses

Primary practice location

2617 E Chapman Ave
Suite #312
Orange, CA 92869

Mailing address

2617 E Chapman Ave Ste 312
Orange, CA 92869-3247
Phone (714) 292-0202

Other identifiers 1

IdentifierTypeStateIssuer
00G419260MedicaidCA

National Provider Directory

National Provider Directory

Locations

2617 E Chapman Ave
Ste 312
Orange, CA 92869
Phone (714) 292-0202

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1063519668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 E CHAPMAN AVE STE 312",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693247",
            "telephone_number": "714-292-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 E CHAPMAN AVE",
            "address_2": "SUITE #312",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92869",
            "telephone_number": "714-633-4260",
            "fax_number": "714-633-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL D DOBALIAN MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "DOBALIAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-633-4260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G419260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G419260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.