Dornika Medical, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A76326 Issued in CA

Legal business name

DORNIKA MEDICAL, INC.

Practice address

2121 S San Pedro St
Unit E
Los Angeles, CA 90011-1160

Phone

(213) 747-0300

Fax

(213) 746-0044

NPI assigned

Aug 1, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Bijan Motamedi, M.D.NPI 1801834171

Title

Part Owner

Phone

(213) 747-0300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Bijan Motamedi, M.D.

  • Emergency Medicine Physician
  • Van Nuys, CA
  • NPI 1801834171

  Family Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1417365545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 OASIS",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926207315",
            "telephone_number": "213-747-0300",
            "fax_number": "213-746-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S SAN PEDRO ST",
            "address_2": "UNIT E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900111160",
            "telephone_number": "213-747-0300",
            "fax_number": "213-746-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORNIKA MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "MOTAMEDI",
        "authorized_official_first_name": "BIJAN",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "213-747-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A76326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER LISCENSE",
            "identifier": "A76326",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawna Dorman, MD
• Tedi Elyse Dorman
• Kerri Chere Dornan, RDHAP
• Leslie Paris Dornfeld, MD
• Katrina Ann Dornig, LMFT, PH.D.
• Monica Doron
• Shana Doronn, LCSW, PSY.D
• Elmer Bigayan Dorosan, NP
• Dorothy Klein, M.D., Inc.
• Dorothy Mae Medical Clinic Inc.

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.