Active NPI
Hippomd Inc.
- Emergency Medicine Physician
- Truckee, CA
National Provider Identifier
1255703740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 84113
- Legal business name
- HIPPOMD INC.
- Practice address
- 11025 Pioneer TRL
Truckee, CA 96161-0281 - Phone
- (415) 424-4266
- Fax
- (415) 520-6633
- NPI assigned
- Oct 23, 2015
- 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
- Dr. Robert John Darzynkiewicz, M.D.
- Title
- Chief Medical Officer
- Phone
- (530) 913-2197
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 84113 | CA | Primary |
Addresses
Primary practice location
11025 Pioneer TRL
Truckee, CA 96161-0281
Mailing address
16 Jessie St Apt 209
San Francisco, CA 94105-2784
Phone (415) 424-4266
National Provider Directory
National Provider DirectoryLocations
11025 Pioneer Trl
Truckee, CA 96161
Phone (518) 524-4977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469750400000",
"number": "1255703740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 JESSIE ST APT 209",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941052784",
"telephone_number": "415-424-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11025 PIONEER TRL",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961610281",
"telephone_number": "415-424-4266",
"fax_number": "415-520-6633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIPPOMD INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-23",
"last_updated": "2016-07-29",
"status": "A",
"authorized_official_last_name": "DARZYNKIEWICZ",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "530-913-2197",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "CA",
"license": "84113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Truckee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.