FW Dieterich MD Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G41537 Issued in CA

Legal business name

FW DIETERICH MD INC

Practice address

1275 N. Rose Dr
Suite 106
Placentia, CA 92870-3945

Phone

(714) 572-1921

Fax

(714) 572-8334

NPI assigned

Apr 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Frederick W Dieterich, M.D.

Title

President

Phone

(714) 572-1921

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimiko P Miller, PA-C

  • Medical Physician Assistant
  • Placentia, CA
  • NPI 1609861079
  NPD (past)

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1073757969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 N. ROSE DR",
            "address_2": "SUITE 106",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703945",
            "telephone_number": "714-572-1921",
            "fax_number": "714-572-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 N. ROSE DR",
            "address_2": "SUITE 106",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703945",
            "telephone_number": "714-572-1921",
            "fax_number": "714-572-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FW DIETERICH MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "DIETERICH",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-572-1921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G41537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Cho DDS,Inc
• Yuki Frazier, M.A. LMFT
• Fred Nowroozi, M. D., Inc.
• Ashley Fricioni
• Michael David Futrell
• Elizabeth Chilton Gaines, PSY.D.
• Korina Gahol Galaraga, DPT
• Lilia Rose Galindo
• Clarissa Aglaen Gallardo
• Jamie Gallardo

• Obstetrics & Gynecology Physician in Placentia, CA
• Providers in Placentia, CA by specialty
• Obstetrics & Gynecology Physician in California

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