Active NPI
Andrea Dunkelman, MD Inc. a Medical Corporation
- Specialist
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A74127
- Legal business name
- ANDREA DUNKELMAN, MD INC. A MEDICAL CORPORATION
- Practice address
- 1710 La Loma Dr
Santa Ana, CA 92705-3027 - Phone
- (301) 678-2429
- NPI assigned
- Mar 19, 2013
- 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
- Andrea Dunkelman, MD
- Title
- President
- Phone
- (714) 953-2503
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 |
|---|---|---|---|---|
| Specialist | 174400000X | A74127 | CA | Primary |
Addresses
Primary practice location
1710 La Loma Dr
Santa Ana, CA 92705-3027
Mailing address
1001 N Tustin Ave
Santa Ana, CA 92705-3502
Phone (714) 953-2503
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
- Andrea Dunkelman MD Inc a Medical Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Los Angeles, CA
- NPI 1912162223
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Plastic and Reconstructive Surgery Physician
- Santa Ana, CA
- NPI 1225087182
-
- Surgery Physician
- Santa Ana, CA
- NPI 1295702843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427068800000",
"number": "1225370133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 N TUSTIN AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053502",
"telephone_number": "714-953-2503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 LA LOMA DR",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053027",
"telephone_number": "301-678-2429"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREA DUNKELMAN, MD INC. A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-19",
"last_updated": "2015-03-23",
"status": "A",
"authorized_official_last_name": "DUNKELMAN",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-953-2503",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "A74127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.