Organization Active NPI

Dipti Doshi MD, Inc.

  • Rheumatology Physician
  • Cerritos, CA
National Provider Identifier
1386089415
Registry record updated Mar 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A79465 Issued in CA
Legal business name
DIPTI DOSHI MD, INC.
Practice address
17100 Norwalk Blvd Ste 101
Cerritos, CA 90703
Phone
(562) 860-2111
NPI assigned
May 2, 2013
Organization subpart
Yes
Parent organization
DIPTI DOSHI MD, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2024

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

Authorized official

Name
Dipti Doshi, MDNPI 1053325761
Title
Medical Director/Ceo
Phone
(562) 229-4360

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
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X A79465 CA Primary

Addresses

Primary practice location

17100 Norwalk Blvd Ste 101
Cerritos, CA 90703

Mailing address

17100 Norwalk Blvd Ste 101
Cerritos, CA 90703-2750
Phone (562) 860-2111

Other practice location 1

12225 South St
Suite 105
Artesia, CA 90701-7053
Phone (562) 860-2111

Other identifiers 1

IdentifierTypeStateIssuer
0361127361MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140210000836 CA Part B Supplier - Clinic/Group Practice 1052540291 Receives reassigned benefits from 6 practitioners
Practice locations: Cerritos, CA

National Provider Directory

National Provider Directory
Part of
Dipti Doshi MD Inc

Locations

12225 South St
Ste 105
Artesia, CA 90701
Phone (562) 860-2111

17100 Norwalk Blvd
Ste 103
Cerritos, CA 90703
Phone (562) 860-2111

17100 Norwalk Blvd
Cerritos, CA 90703
Phone (562) 860-2111

Practitioners & affiliated clinicians

Practitioners 7

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": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709337600000",
    "number": "1386089415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 NORWALK BLVD STE 101",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032750",
            "telephone_number": "562-860-2111",
            "fax_number": "562-860-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 NORWALK BLVD STE 101",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "90703",
            "telephone_number": "562-860-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12225 South St",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Artesia",
            "state": "CA",
            "postal_code": "907017053",
            "country_code": "US",
            "telephone_number": "562-860-2111",
            "fax_number": "562-860-5959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIPTI DOSHI MD, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIPTI DOSHI MD, INC.",
        "enumeration_date": "2013-05-02",
        "last_updated": "2024-03-02",
        "certification_date": "2024-03-02",
        "status": "A",
        "authorized_official_last_name": "DOSHI",
        "authorized_official_first_name": "DIPTI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/CEO",
        "authorized_official_telephone_number": "562-229-4360",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A79465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0361127361",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.