Organization Active NPI

Dashen Medical Group, Inc.

  • Pulmonary Disease Physician
  • Inglewood, CA
National Provider Identifier
1497976500
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A66882 Issued in CA
Legal business name
DASHEN MEDICAL GROUP, INC.
Practice address
211 No. Prairie
Inglewood, CA 90301-4106
Phone
(310) 412-4700
Fax
(310) 419-9475
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Amanuel Sima, M.D.
Title
President
Phone
(310) 989-1224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X A66882 CA Primary

Addresses

Primary practice location

211 No. Prairie
Inglewood, CA 90301-4106

Mailing address

P.O. Box 1698
Inglewood, CA 90308-4106
Phone (310) 412-4700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497976500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1698",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903084106",
            "telephone_number": "310-412-4700",
            "fax_number": "310-419-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 NO. PRAIRIE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014106",
            "telephone_number": "310-412-4700",
            "fax_number": "310-419-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DASHEN MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMA",
        "authorized_official_first_name": "AMANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-989-1224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A66882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.