Organization Active NPI

Hippomd Inc.

  • Emergency Medicine Physician
  • Truckee, CA
National Provider Identifier
1255703740
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
84113 Issued in CA
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

Updated by the provider on Jul 29, 2016

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)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.