NPIMap

Organization Active NPI

Jeffrey a. Dobkin, Inc.

  • Nuclear Radiology Physician
  • Signal Hill, CA
National Provider Identifier
1295830396
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Radiology PhysicianTaxonomy code 2085N0904X
License
G73366 Issued in CA
Legal business name
JEFFREY A. DOBKIN, INC.
Practice address
2708 E Willow St
Signal Hill, CA 90755-2217
Phone
(562) 427-0714
Fax
(603) 773-3685
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Jeffrey A Dobkin
Title
Owner
Phone
(714) 434-8663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085N0904X G73366 CA Primary

Addresses

Primary practice location

2708 E Willow St
Signal Hill, CA 90755-2217

Mailing address

PO Box 1309
Newport Beach, CA 92659-0109
Phone (714) 434-8663

Other identifiers 1

IdentifierTypeStateIssuer
1215919147OtherTYPE 1

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1295830396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1309",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926590109",
            "telephone_number": "714-434-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 E WILLOW ST",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552217",
            "telephone_number": "562-427-0714",
            "fax_number": "603-773-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY A. DOBKIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "DOBKIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-434-8663"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": "CA",
            "license": "G73366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1",
            "identifier": "1215919147",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Signal Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.