Organization Active NPI

Shyam Dahiya MD Inc

  • Family Medicine Physician
  • Lakewood, CA
National Provider Identifier
1306039300
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SHYAM DAHIYA MD INC
Practice address
3650 South St
Suite 412
Lakewood, CA 90712-1502
Phone
(562) 602-1012
Fax
(562) 602-1915
NPI assigned
Aug 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
Shyam Dahiya, MD
Title
Director
Phone
(562) 634-8001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X

Addresses

Primary practice location

3650 South St
Suite 412
Lakewood, CA 90712-1502

Mailing address

3650 South St
Suite 412
Lakewood, CA 90712-1502
Phone (562) 602-1012

National Provider Directory

National Provider Directory

Locations

3650 South St
Ste 412
Lakewood, CA 90712
Phone (562) 602-1012

16660 Paramount Blvd
Ste 214
Paramount, CA 90723
Phone (562) 602-1012

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1306039300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 SOUTH ST",
            "address_2": "SUITE 412",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121502",
            "telephone_number": "562-602-1012",
            "fax_number": "562-602-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 SOUTH ST",
            "address_2": "SUITE 412",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121502",
            "telephone_number": "562-602-1012",
            "fax_number": "562-602-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHYAM DAHIYA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "DAHIYA",
        "authorized_official_first_name": "SHYAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "562-634-8001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.