Individual provider Active NPI

Dawn Michelle Vollmann, PA

  • Adult Medicine Physician
  • Brea, CA
National Provider Identifier
1104335934
Registry record updated Sep 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
54950 Issued in CA
Practice address
539 S Brea Blvd Ste 100
Brea, CA 92821-5377
Phone
(714) 671-2936
NPI assigned
Sep 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 54950 CA Primary

Addresses

Primary practice location

539 S Brea Blvd Ste 100
Brea, CA 92821-5377

Mailing address

1852 E Almond Dr
Anaheim, CA 92805-3423
Phone (714) 321-5049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16787 Beach Blvd
Suite 276
Huntington Beach, CA 92647-4887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
54950CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kristine Percy MD & Lauren Stearns MD, Inc. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506297600000",
    "number": "1104335934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 E ALMOND DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053423",
            "telephone_number": "714-321-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 S BREA BLVD STE 100",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215377",
            "telephone_number": "714-671-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLLMANN",
        "first_name": "DAWN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "54950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

Verify at the official NPI Registry.