David S Dassoff, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G137536 Issued in CA

Practice address

211 13TH St
Ramona, CA 92065-2711

Phone

(760) 789-5160

Fax

(760) 789-6316

NPI assigned

Feb 23, 2007

Last updated

Oct 5, 2016By 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 2

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

Locations

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.

• Klamath Medical Clinic PC

  • Family Medicine Physician
  • Klamath Falls, OR
  • NPI 1396774378
  NPD

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1063547420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15611 POMERADO RD",
            "address_2": "FIFTH FLOOR",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642437",
            "telephone_number": "858-675-3100",
            "fax_number": "858-618-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 13TH ST",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920652711",
            "telephone_number": "760-789-5160",
            "fax_number": "760-789-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASSOFF",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G137536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G137536",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063547420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roger Thomas Cranwill, R.PH
• Daniel Joseph Cruz
• Jeanette Cruz, L. AC.
• D Paul Knapp
• Lisa Anne Dailey, RN
• Willie Anthoney Davis Jr.
• Stanley Dekoven, PH.D.
• Rosa Elizabeth Delarosa Torres
• Elisa Rene Delgado
• Ashley Deno, NNP

• Family Medicine Physician in Ramona, CA
• Providers in Ramona, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.