Niloufer S Dennis MD Medical Corp

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

42653 Issued in CA

Legal business name

NILOUFER S DENNIS MD MEDICAL CORP

Practice address

330 S Magnolia Ave
Suite 301
El Cajon, CA 92020-5290

Phone

(800) 395-9431

NPI assigned

Sep 12, 2013

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

VP of Operations

Phone

(858) 964-1506

Specialties & licenses 1

Addresses

Other names 1

• San Diego Women's Care- Broadway Doing business as

Part of

Tri - State Medical Group Inc

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1508291246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S MAGNOLIA AVE",
            "address_2": "SUITE 301",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920205290",
            "telephone_number": "800-395-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILOUFER S DENNIS MD MEDICAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2013-09-12",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "42653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Diego Women's Care- Broadway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vinh Thanh Nguyen
• Nicholas N.Gadler, DDS, Inc
• Valerie Lee Nichols, RN
• Edward Isaiah Nieblas
• Julie Niedens, PA-C
• Karen Christine Nimchuk-Cook, MFT
• Gary Gordon Nimtz
• Jessica Ilene Ninberg
• Roxanne Ninteman, AMFT, APCC
• Ninub Transportation LLC

• Non-Pharmacy Dispensing Site in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.