Active NPI
Dagher MD Medical Group Inc
- Internal Medicine Physician
- Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A98565
- Legal business name
- DAGHER MD MEDICAL GROUP INC
- Practice address
- 376 W Badillo St
Covina, CA 91723-1827 - Phone
- (626) 332-1175
- Fax
- (626) 966-8746
- NPI assigned
- Jul 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nadim Dagher, MD
- Title
- Owner
- Phone
- (626) 332-1175
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A98565 | CA | Primary |
Addresses
Primary practice location
376 W Badillo St
Covina, CA 91723-1827
Mailing address
376 W Badillo St
Covina, CA 91723-1827
Phone (626) 332-1175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Dagher MD Medical Group Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Covina, CA
- NPI 1659238020
Locations
530 W Badillo St
#D
Covina, CA 91722
Phone (626) 332-1175
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Clinic/Center
- Covina, CA
- NPI 1659238020
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Westminster, CA
- NPI 1053531467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278633600000",
"number": "1194037879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "376 W BADILLO ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917231827",
"telephone_number": "626-332-1175",
"fax_number": "626-966-8746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "376 W BADILLO ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917231827",
"telephone_number": "626-332-1175",
"fax_number": "626-966-8746"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAGHER MD MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-09",
"last_updated": "2010-07-09",
"status": "A",
"authorized_official_last_name": "DAGHER",
"authorized_official_first_name": "NADIM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "626-332-1175",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A98565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.