Active NPI
Ian Dworkin, M.D. Inc.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Newport Beach, CA
National Provider Identifier
1255999215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- 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, 2020
- 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
- Ian Dworkin, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Los Angeles, CA
- NPI 1861810368
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.