Organization Active NPI

Ian Dworkin, M.D. Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Newport Beach, CA
National Provider Identifier
1255999215
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
IAN DWORKIN, M.D. INC.
Practice address
3300 W Coast Hwy Ste a
Newport Beach, CA 92663-4025
Phone
(949) 491-9991
NPI assigned
Jun 4, 2019
Last updated
Mar 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ian Dworkin, MDNPI 1861810368
Title
Director
Phone
(949) 491-9991

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)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU Primary

Addresses

Primary practice location

3300 W Coast Hwy Ste a
Newport Beach, CA 92663-4025

Mailing address

1130 Lake St Apt 2
Venice, CA 90291-3112
Phone (610) 547-9449

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1255999215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 LAKE ST APT 2",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913112",
            "telephone_number": "610-547-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W COAST HWY STE A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634025",
            "telephone_number": "949-491-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAN DWORKIN, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "DWORKIN",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "949-491-9991",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.