Organization Active NPI

DMB MD Group Inc

  • Multi-Specialty Clinic/Center
  • North Hollywood, CA
National Provider Identifier
1144733825
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
A111784 Issued in CA
Legal business name
DMB MD GROUP INC
Practice address
7535 Laurel Canyon Blvd
North Hollywood, CA 91605-3149
Phone
(818) 962-5505
Fax
(811) 821-6722
NPI assigned
Nov 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Darren Michael Boyer, MD
Title
Ceo
Phone
(323) 459-1543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X A111784 CA Primary

Addresses

Primary practice location

7535 Laurel Canyon Blvd
North Hollywood, CA 91605-3149

Mailing address

1431 Ocean Ave Apt 1201
Santa Monica, CA 90401-2147
Phone (323) 459-1543

Other identifiers 1

IdentifierTypeStateIssuer
1992960462OtherNPI-1

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1144733825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 OCEAN AVE APT 1201",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012147",
            "telephone_number": "323-459-1543",
            "fax_number": "844-800-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7535 LAUREL CANYON BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916053149",
            "telephone_number": "818-962-5505",
            "fax_number": "811-821-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMB MD GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-459-1543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "A111784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-1",
            "identifier": "1992960462",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.