Individual provider Active NPI

Jeffrey A Dobkin, MD

  • Nuclear Radiology Physician
  • Signal Hill, CA
National Provider Identifier
1215919147
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Radiology PhysicianTaxonomy code 2085N0904X
License
G73366 Issued in CA
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

Updated by the provider on Jan 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1295830396OtherTYPE 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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
73366CAMDPharmacist
G73366CAMDNuclear Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Jan 1, 2025 Accepting new patients
Kern Radiology Medical Group, Inc PastSince Aug 9, 2017 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.

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

Verify at the official NPI Registry.