Active NPI
Paul M Dobies, O.D.
- Optometrist
- Pomona, CA
National Provider Identifier
1225189335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7445TLG
- Practice address
- 795 E. Second Street
Suite 2
Pomona, CA 91766-2020 - Phone
- (909) 706-3899
- Fax
- (909) 469-8640
- NPI assigned
- Jan 15, 2007
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7445TLG | CA | Primary |
Addresses
Primary practice location
795 E. Second Street
Suite 2
Pomona, CA 91766-2020
Mailing address
795 E. Second Street
Suite 2
Pomona, CA 91766-2020
Phone (909) 469-8773
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA117676 | Other | CA | MEDICARE PTAN NO CAL |
| AT986W | Other | CA | MEDICARE PTAN SO CAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7445TLG | CA | MD | Optometrist |
| 7445 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477872000000",
"number": "1225189335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "795 E. SECOND STREET",
"address_2": "SUITE 2",
"city": "POMONA",
"state": "CA",
"postal_code": "917662020",
"telephone_number": "909-469-8773",
"fax_number": "909-469-5228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 E. SECOND STREET",
"address_2": "SUITE 2",
"city": "POMONA",
"state": "CA",
"postal_code": "917662020",
"telephone_number": "909-706-3899",
"fax_number": "909-469-8640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBIES",
"first_name": "PAUL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2016-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "7445TLG",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN NO CAL",
"identifier": "CA117676",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN SO CAL",
"identifier": "AT986W",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.