John Dorman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C30728 Issued in CA

Practice address

3603 State St
Santa Barbara, CA 93105-2521

Phone

(805) 563-3301

Fax

(805) 563-3303

NPI assigned

Apr 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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.

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  • NPI 1245561828
  NPD (past)
• Ageless Men's Health Ca PPC

  dba Ageless Men's Health

  • Specialist
  • Seal Beach, CA
  • NPI 1083052864
  NPD (past)
• Ageless Men's Health Ca, PC

  dba Ageless Men's Health

  • Internal Medicine Physician
  • Santa Barbara, CA
  • NPI 1285931436
  NPD (past)
• Ageless Men's Health Ca, PC

  dba Ageless Men's Health

  • Specialist
  • Rancho Cucamonga, CA
  • NPI 1538583208
  NPD (past)
• Ageless Men's Health Holdings, PC Ca

  dba Ageless Men's Health

  • Primary Care Clinic/Center
  • San Ramon, CA
  • NPI 1518590694
  NPD (past)
• Ageless Men's Health PC

  dba Ageless Men's Health

  • Specialist
  • San Francisco, CA
  • NPI 1124451299
  NPD (past)
• Ageless Men's Health, Ca, PC

  • Internal Medicine Physician
  • Irvine, CA
  • NPI 1447581095
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093933756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 SANTA BARBARA SHORES DR",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931172409",
            "telephone_number": "805-563-3301",
            "fax_number": "805-563-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 STATE ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931052521",
            "telephone_number": "805-563-3301",
            "fax_number": "805-563-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORMAN",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C30728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Renee Donovan
• Noemi C Doohan, M.D.
• Cassidy Doolan
• Alan Christian Dorado
• Brenda Dorantes
• Julia Marie Dornan, LVN
• Alexis Dorny, ACSW
• Steven Dosch, M.D.
• Shaylen Doss, NP
• Dossmd

• Family Medicine Physician in Santa Barbara, CA
• Providers in Santa Barbara, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.