Leo Ray Van Dolson Jr., MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G34839 Issued in CA

Practice address

7078 Skyway
Paradise, CA 95969

Phone

(530) 877-0700

Fax

(530) 877-0765

NPI assigned

Aug 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: leo.van.dolson.1@18826.direct.athenahealth.com

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174536445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7078 SKYWAY",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "95969",
            "telephone_number": "530-877-0700",
            "fax_number": "530-877-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7078 SKYWAY",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "95969",
            "telephone_number": "530-877-0700",
            "fax_number": "530-877-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DOLSON",
        "first_name": "LEO",
        "middle_name": "RAY",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G34839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G348390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Maria Elanie Umber, M.D.
• Peck-Houy Ung, M.D.
• Axle Maria Rafaelle Dimayuga Untalan, MD
• Jose Trinidad Valdovinos
• Linda C Valles, NP
• Cassidy Ze Vang
• Mica Vang
• Penny Vang
• Jake Bubba Vasquez
• Andre Augusto Venturini

• Orthopaedic Surgery Physician in Paradise, CA
• Providers in Paradise, CA by specialty
• Orthopaedic Surgery 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.