Organization Active NPI

Dreamweaver Consultancy, a Medical Corporation

  • Family Medicine Physician
  • Baldwin Park, CA
National Provider Identifier
1437487303
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DREAMWEAVER CONSULTANCY, A MEDICAL CORPORATION
Practice address
14362 Ramona Blvd
Baldwin Park, CA 91706-3241
Phone
(626) 337-0676
Fax
(626) 813-4342
NPI assigned
Dec 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

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

Authorized official

Name
Stanley Toy Jr., M.D.NPI 1669707063
Title
President
Phone
(626) 296-9500

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

14362 Ramona Blvd
Baldwin Park, CA 91706-3241

Mailing address

420 W Las Tunas Dr
San Gabriel, CA 91776-1268
Phone (626) 296-9500

Other identifiers 1

IdentifierTypeStateIssuer
1922292267MedicaidCA

Other names 1

  • Centro de Salud de Baldwin Park Doing business as

National Provider Directory

National Provider Directory

Locations

14362 Ramona Blvd
Baldwin Park, CA 91706
Phone (626) 337-0676

Practitioners & affiliated clinicians

Practitioners 1

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": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1437487303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W LAS TUNAS DR",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761268",
            "telephone_number": "626-296-9500",
            "fax_number": "626-296-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14362 RAMONA BLVD",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063241",
            "telephone_number": "626-337-0676",
            "fax_number": "626-813-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAMWEAVER CONSULTANCY, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "TOY",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-296-9500",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922292267",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro de Salud de Baldwin Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baldwin Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.