Organization Active NPI

Frank M. Dalessandro MD Inc

  • Family Medicine Physician
  • Cypress, CA
National Provider Identifier
1508230756
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FRANK M. DALESSANDRO MD INC
Practice address
11741 Valley View St Ste a
Cypress, CA 90630-5500
Phone
(714) 897-1071
Fax
(714) 799-2096
NPI assigned
Nov 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Authorized official

Name
Dr. Jonathan Hamilton Martin, MD
Title
Owner
Phone
(401) 334-3105

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

11741 Valley View St Ste a
Cypress, CA 90630-5500

Mailing address

11741 Valley View St. Ste a
Cypress, CA 90630
Phone (714) 897-1071

Other names 1

  • Ocean Pacific Primary Care Doing business as

National Provider Directory

National Provider Directory

Locations

11741 Valley View St
Ste A
Cypress, CA 90630
Phone (714) 897-1071

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": "1448409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1508230756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11741 VALLEY VIEW ST. STE A",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "90630",
            "telephone_number": "714-897-1071",
            "fax_number": "714-373-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11741 VALLEY VIEW ST STE A",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305500",
            "telephone_number": "714-897-1071",
            "fax_number": "714-799-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK M. DALESSANDRO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-25",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "HAMILTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-334-3105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean Pacific Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.