Organization Active NPI

Dynamic Medical Corporation

  • Physical Medicine & Rehabilitation Physician
  • San Francisco, CA
National Provider Identifier
1376592253
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
DYNAMIC MEDICAL CORPORATION
Practice address
2480 Mission St
Suite 326
San Francisco, CA 94110-2468
Phone
(415) 252-4333
Fax
(415) 626-4736
NPI assigned
May 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Parvez Mehboob Fatteh, M.D.NPI 1194774075
Title
President
Phone
(415) 252-4333

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

2480 Mission St
Suite 326
San Francisco, CA 94110-2468

Mailing address

2480 Mission St
Suite 326
San Francisco, CA 94110-2468
Phone (415) 252-4333

National Provider Directory

National Provider Directory

Locations

1001 Brannan St
San Francisco, CA 94103
Phone (415) 252-4333

1615 McKee Rd
San Jose, CA 95116
Phone (408) 258-6033

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376592253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 MISSION ST",
            "address_2": "SUITE 326",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102468",
            "telephone_number": "415-252-4333",
            "fax_number": "415-626-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 MISSION ST",
            "address_2": "SUITE 326",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102468",
            "telephone_number": "415-252-4333",
            "fax_number": "415-626-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FATTEH",
        "authorized_official_first_name": "PARVEZ",
        "authorized_official_middle_name": "MEHBOOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-252-4333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.