Dragonfly Medical

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DRAGONFLY MEDICAL

Practice address

3200 Santa Monica Blvd Ste 204
Santa Monica, CA 90404-2639

Phone

(310) 896-5183

Fax

(844) 399-5022

NPI assigned

Mar 23, 2020

Last updated

Apr 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rishi Khatri

Title

Ceo

Phone

(310) 571-5957

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1417584244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SANTA MONICA BLVD STE 204",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042639",
            "telephone_number": "310-896-5183",
            "fax_number": "844-399-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SANTA MONICA BLVD STE 204",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042639",
            "telephone_number": "310-896-5183",
            "fax_number": "844-399-5022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19100 Ventura Blvd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913563234",
            "country_code": "US",
            "telephone_number": "310-896-5183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DRAGONFLY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-23",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "KHATRI",
        "authorized_official_first_name": "RISHI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-571-5957"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.