NPIMap

Organization Active NPI

Dalel Tartak M.D., Inc

  • Ophthalmology Physician
  • City of Industry, CA
National Provider Identifier
1396090841
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G63313 Issued in CA
Legal business name
DALEL TARTAK M.D., INC
Practice address
17980 Castleton St Unit 1
City of Industry, CA 91748-1851
Phone
(626) 854-0148
Fax
(626) 820-1180
NPI assigned
Jul 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Authorized official

Name
Ms. Dalel Tartak, M.D.
Title
Owner/President
Phone
(714) 271-2291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G63313 CA Primary

Addresses

Primary practice location

17980 Castleton St Unit 1
City of Industry, CA 91748-1851

Mailing address

17980 Castleton St Unit 1
City of Industry, CA 91748-1851
Phone (626) 854-0148

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1396090841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17980 CASTLETON ST UNIT 1",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481851",
            "telephone_number": "626-854-0148",
            "fax_number": "626-820-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17980 CASTLETON ST UNIT 1",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481851",
            "telephone_number": "626-854-0148",
            "fax_number": "626-820-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALEL TARTAK M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "TARTAK",
        "authorized_official_first_name": "DALEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "714-271-2291",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G63313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in City of Industry, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.