Dorsa Nasseri Maryska M.D., Inc.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A97299 Issued in CA

Legal business name

DORSA NASSERI MARYSKA M.D., INC.

Practice address

101 E Beverly Blvd Ste 304
Montebello, CA 90640-4316

Phone

(323) 722-7418

Fax

(323) 722-7894

NPI assigned

Aug 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Dorsa Maryska, M.D.NPI 1851598866

Title

President

Phone

(310) 562-9062

Specialties & licenses 1

Addresses

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Kidney Specialists Medical Corporation

  • Nephrology Physician
  • Montebello, CA
  • NPI 1184735235

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dorsa F. Maryska, M.D.

  • Nephrology Physician
  • Montebello, CA
  • NPI 1851598866
  NPD Authorized official
• Brian Zwecker, M.D.

  • Nephrology Physician
  • Montebello, CA
  • NPI 1629363106
  NPD
• Eiman Fouad Naguib, FNP

  • Family Nurse Practitioner
  • Long Beach, CA
  • NPI 1912211178
  NPD (past)

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1528374170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD STE 304",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404316",
            "telephone_number": "323-722-7418",
            "fax_number": "323-722-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD STE 304",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404316",
            "telephone_number": "323-722-7418",
            "fax_number": "323-722-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORSA NASSERI MARYSKA M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "MARYSKA",
        "authorized_official_first_name": "DORSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-562-9062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A97299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Montebello, CA
• Providers in Montebello, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.