Disc Physician Group

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

DISC PHYSICIAN GROUP

Practice address

13160 Mindanao Way
Suite 170
Marina del Rey, CA 90292-6358

Phone

(310) 881-3688

NPI assigned

Sep 14, 2016

Organization subpart

No

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

Authorized official

Name

Robert S Bray, M.D.

Title

Provider

Phone

(310) 881-3688

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1487102836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY",
            "address_2": "SUITE 170",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY",
            "address_2": "SUITE 170",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926358",
            "telephone_number": "310-881-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISC PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "BRAY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "310-881-3688",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diagnostic and Interventional Surgical Center
• Diagnostic Village, a Medical Corporation
• Leslie Diaz
• Carolina Colette Dickson, PA-C
• Jennifer Dinardi, OTD, OTR/L
• Disc Surgery Center at Marina del Rey LLC
• Kevin DO
• Pornsuda Dokthonghom
• Christelle Joelle Doktor, C.M.T
• Dominique Mall,MD,Inc

• Surgery Physician in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.