Active NPI
Dashen Medical Group, Inc.
- Pulmonary Disease Physician
- Inglewood, CA
National Provider Identifier
1497976500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- A66882
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 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 DirectoryNPI 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.