Active NPI
Moti S Daswani MD Inc
- Nephrology Physician
- Long Beach, CA
National Provider Identifier
1255357315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- MOTI S DASWANI MD INC
- Practice address
- 3300 E South St
110
Long Beach, CA 90805 - Phone
- (562) 630-7279
- Fax
- (562) 630-8828
- NPI assigned
- Jul 14, 2006
- 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
- Moti S Daswani, MD
- Title
- Owner
- Phone
- (562) 630-7279
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | CA | Primary |
Addresses
Primary practice location
3300 E South St
110
Long Beach, CA 90805
Mailing address
3300 E South St
110
Long Beach, CA 90805
Phone (562) 630-7279
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0060560 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3300 E South St
Ste 110
Lakewood, CA 90805
Phone (213) 630-7279
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Torrance, CA
- NPI 1477660660
-
- Nephrology Physician
- Lakewood, CA
- NPI 1598861882
-
- Nephrology Physician
- Long Beach, CA
- NPI 1821014879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206316800000",
"number": "1255357315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 E SOUTH ST",
"address_2": "110",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90805",
"telephone_number": "562-630-7279",
"fax_number": "562-630-8828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 E SOUTH ST",
"address_2": "110",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90805",
"telephone_number": "562-630-7279",
"fax_number": "562-630-8828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOTI S DASWANI MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-14",
"last_updated": "2008-03-24",
"status": "A",
"authorized_official_last_name": "DASWANI",
"authorized_official_first_name": "MOTI",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "562-630-7279",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0060560",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.