Organization Active NPI

Color Medical, PA

  • Internal Medicine Physician
  • Burlingame, CA
National Provider Identifier
1174233712
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COLOR MEDICAL, PA
Practice address
831 Mitten Rd
Burlingame, CA 94010-1324
Phone
(617) 312-6914
NPI assigned
Dec 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Dr. Ronald Dixon, MD
Title
Ceo
Phone
(617) 312-6914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

831 Mitten Rd
Burlingame, CA 94010-1324

Mailing address

831 Mitten Rd
Burlingame, CA 94010-1324

National Provider Directory

National Provider Directory

Locations

831 Mitten Rd
Ste 216
Burlingame, CA 94010

831 Mitten Rd
Burlingame, CA 94010
Phone (617) 312-6914

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1174233712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 MITTEN RD",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 MITTEN RD",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101324",
            "telephone_number": "617-312-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLOR MEDICAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-04",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-312-6914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.