Active NPI
Jeffrey A Dobkin, MD
- Nuclear Radiology Physician
- Signal Hill, CA
National Provider Identifier
1215919147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Radiology Physician
- License
- G73366
- Practice address
- 2708 E Willow St
Signal Hill, CA 90755-2217 - Phone
- (562) 427-0714
- Fax
- (603) 773-3685
- NPI assigned
- Nov 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | G73366 | CA | Primary |
Addresses
Primary practice location
2708 E Willow St
Signal Hill, CA 90755-2217
Mailing address
PO Box 1309
Newport Beach, CA 92659-0109
Phone (714) 434-8663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295830396 | Other | TYPE 2 |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73366 | CA | MD | Pharmacist |
| G73366 | CA | MD | Nuclear Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Coast Cardiology Medical Group | Nuclear Medicine | Past | Accepting new patients |
| Simonmed Imaging a Professional Corporation | Past | Accepting new patients | |
| Memrad Medical Group Inc | Past | Accepting new patients | |
| Arizona Diagnostic Radiology Group, LLC | Past | Accepting new patients | |
| Kern Radiology Medical Group, Inc | Past | Accepting new patients | |
| Moran Rowen and Dorsey Inc | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Diagnostic Radiology Physician
- Bakersfield, CA
- NPI 1720023997
-
- Radiology Clinic/Center
- Long Beach, CA
- NPI 1831173905
-
- Diagnostic Radiology Physician
- Orange, CA
- NPI 1649263906
-
- Cardiovascular Disease Physician
- Newport Beach, CA
- NPI 1245284843
Nuclear Medicine
-
- Diagnostic Radiology Physician
- Palo Alto, CA
- NPI 1184925141
-
- Diagnostic Radiology Physician
- Gilbert, AZ
- NPI 1336757699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390262400000",
"number": "1215919147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1309",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926590109",
"telephone_number": "714-434-8663",
"fax_number": "714-549-9287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2708 E WILLOW ST",
"city": "SIGNAL HILL",
"state": "CA",
"postal_code": "907552217",
"telephone_number": "562-427-0714",
"fax_number": "603-773-3685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBKIN",
"first_name": "JEFFREY",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2014-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "CA",
"license": "G73366",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE 2",
"identifier": "1295830396",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Signal Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.