Dmat Ca-6

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

G64161 Issued in CA

Legal business name

DMAT CA-6

Practice address

520 Loop Rd
BLDG 4, a-137
Palo Alto, CA 94304-1207

Phone

(202) 731-3755

Fax

(650) 412-1815

NPI assigned

Jan 29, 2016

Organization subpart

No

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

Authorized official

Name

David Lipin

Title

Unit Commander

Phone

(292) 731-3755

Specialties & licenses 2

Addresses

Other names 1

• CDMSA Other name

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472256000000",
    "number": "1629436134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DALE AVE",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702940",
            "telephone_number": "202-731-3755",
            "fax_number": "650-412-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 LOOP RD",
            "address_2": "BLDG 4, A-137",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041207",
            "telephone_number": "202-731-3755",
            "fax_number": "650-412-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMAT CA-6",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-08-27",
        "status": "A",
        "authorized_official_last_name": "LIPIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "UNIT COMMANDER",
        "authorized_official_telephone_number": "292-731-3755"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "CA",
            "license": "G64161",
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "CA",
            "license": "G64161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDMSA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anjali Ashish Dixit, MD
• Brion Louis Dixon, CST
• Mae Lavente Dizon, N.P.
• Pilar A Dizon, DPT
• Eleana Djouhardijian
• Amelia Dmowska
• Jackie DO
• Jessica Mai DO, MD
• Sinh DO
• Tien DO

• Public Health or Welfare Agency in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Public Health or Welfare Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2016; 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.