Organization Active NPI

Nam Si Dong, M.D.,Inc.

  • Pediatrics Physician
  • Westminster, CA
National Provider Identifier
1609117530
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NAM SI DONG, M.D.,INC.
Practice address
14082 Magnolia St Ste 111
Westminster, CA 92683-4764
Phone
(714) 898-0424
Fax
(714) 459-7325
NPI assigned
Mar 1, 2013
Last updated
Mar 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Authorized official

Name
Dr. Nam Si Dong, M.D.NPI 1508968223
Title
Medical Doctor
Phone
(714) 898-0424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

14082 Magnolia St Ste 111
Westminster, CA 92683-4764

Mailing address

14082 Magnolia St Ste 111
Westminster, CA 92683-4764
Phone (714) 898-0424

National Provider Directory

National Provider Directory

Locations

14082 Magnolia St
Ste 111
Westminster, CA 92683
Phone (714) 898-0424

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1609117530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14082 MAGNOLIA ST STE 111",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834764",
            "telephone_number": "714-898-0424",
            "fax_number": "714-459-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14082 MAGNOLIA ST STE 111",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834764",
            "telephone_number": "714-898-0424",
            "fax_number": "714-459-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAM SI DONG, M.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "DONG",
        "authorized_official_first_name": "NAM",
        "authorized_official_middle_name": "SI",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "714-898-0424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.