Active NPI
Gary M Dosik, MD
- Hematology & Oncology Physician
- Encino, CA
National Provider Identifier
1295746972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- G39314
- Practice address
- 16133 Ventura Blvd
Ste 470
Encino, CA 91436-2402 - Phone
- (818) 981-3818
- Fax
- (818) 784-3106
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | G39314 | CA | Primary |
Addresses
Primary practice location
16133 Ventura Blvd
Ste 470
Encino, CA 91436-2402
Mailing address
16133 Ventura Blvd
Ste 470
Encino, CA 91436-2402
Phone (818) 988-1318
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G393140 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G39314 | CA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Mayo Newhall Memorial Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Valencia, CA
- NPI 1780668434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295746972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16133 VENTURA BLVD",
"address_2": "STE 470",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362402",
"telephone_number": "818-988-1318",
"fax_number": "818-784-3106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16133 VENTURA BLVD",
"address_2": "STE 470",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362402",
"telephone_number": "818-981-3818",
"fax_number": "818-784-3106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOSIK",
"first_name": "GARY",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "G39314",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G393140",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.