NPIMap

Organization Active NPI

MDPD Specialists

  • Specialist
  • Irvine, CA
National Provider Identifier
1275985046
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20A10840 Issued in CA
Legal business name
MDPD SPECIALISTS
Practice address
16305 Sand Canyon Ave
Suite 220
Irvine, CA 92618-3782
Phone
(949) 341-0307
NPI assigned
Jul 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Sandeep Thakkar, D.O.
Title
Owner
Phone
(949) 341-0307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 20A10840 CA Primary

Addresses

Primary practice location

16305 Sand Canyon Ave
Suite 220
Irvine, CA 92618-3782

Mailing address

16305 Sand Canyon Ave
Suite 220
Irvine, CA 92618-3782
Phone (949) 341-0307

National Provider Directory

National Provider Directory
Tax ID family
MDPD Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1275985046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16305 SAND CANYON AVE",
            "address_2": "SUITE 220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183782",
            "telephone_number": "949-341-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16305 SAND CANYON AVE",
            "address_2": "SUITE 220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183782",
            "telephone_number": "949-341-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDPD SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-341-0307",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "20A10840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.