Nick Dzebolo MD Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

NICK DZEBOLO MD INC

Practice address

301 N Prairie Ave
#125
Inglewood, CA 90301-4507

Phone

(310) 412-7800

Fax

(310) 412-7801

NPI assigned

Nov 7, 2008

Organization subpart

No

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

Authorized official

Name

Nicholas N DzeboloNPI 1932239837

Title

Owner

Phone

(310) 412-7800

Specialties & licenses 1

Addresses

Practitioners 1

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

• Nicholas N Dzebolo, MD

  • Interventional Cardiology Physician
  • Sacramento, CA
  • NPI 1932239837

  Diagnostic Radiology

  NPD (past) Authorized official

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1639323314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N PRAIRIE AVE",
            "address_2": "#125",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014507",
            "telephone_number": "310-412-7800",
            "fax_number": "310-412-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N PRAIRIE AVE",
            "address_2": "#125",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014507",
            "telephone_number": "310-412-7800",
            "fax_number": "310-412-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICK DZEBOLO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-07",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "DZEBOLO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-412-7800"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Anthony Nguyen, D.D.S.
• Michael Viet Nguyen, DDS
• Nicole Dao Nguyen, PHARMD
• Tram Elayne Bich Thi Nguyen
• Dwana Anjel Nicholson, NP
• Patricia Lynn Nielsen
• Daniel Nader Niknam, DO
• Jamshid Niknam, M.D.
• Nina C Robinson, DPM LLC
• Daniela Nissani

• Diagnostic Radiology Physician in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; 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.