Vista Bay Medical Group

Primary specialty

Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X

License

A22090 Issued in CA

Legal business name

VISTA BAY MEDICAL GROUP

Practice address

21320 Hawthorne Blvd
207
Torrance, CA 90503-5606

Phone

(310) 540-6770

Fax

(310) 540-2004

NPI assigned

Jul 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jens W Dimmick, M.D.

Title

Physician

Phone

(310) 540-6770

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1386841278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21320 HAWTHORNE BLVD",
            "address_2": "207",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035606",
            "telephone_number": "310-540-6770",
            "fax_number": "310-540-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21320 HAWTHORNE BLVD",
            "address_2": "207",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035606",
            "telephone_number": "310-540-6770",
            "fax_number": "310-540-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA BAY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DIMMICK",
        "authorized_official_first_name": "JENS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "310-540-6770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G26557",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "CA",
            "license": "A22090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Trauma Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Orthopaedic Trauma Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.