Organization Active NPI

Martin J Dolan III M.D., Inc

  • Anesthesiology Physician
  • Irvine, CA
National Provider Identifier
1649343534
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G29683 Issued in CA
Legal business name
MARTIN J DOLAN III M.D., INC
Practice address
4900 Barranca Pkwy Ste 104
Irvine, CA 92604-8603
Phone
(949) 726-0677
NPI assigned
Nov 16, 2006
Last updated
Oct 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Martin J Dolan III, M.D.NPI 1205915733
Title
President
Phone
(714) 973-2650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G29683 CA Primary

Addresses

Primary practice location

4900 Barranca Pkwy Ste 104
Irvine, CA 92604-8603

Mailing address

PO Box 2757
Orange, CA 92859-0757
Phone (714) 973-2650

National Provider Directory

National Provider Directory

Locations

18952 MacArthur Blvd
Ste 1
Irvine, CA 92612
Phone (949) 833-1432

Practitioners & affiliated clinicians

Practitioners 2

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1649343534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2757",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928590757",
            "telephone_number": "714-973-2650",
            "fax_number": "714-973-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 BARRANCA PKWY STE 104",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926048603",
            "telephone_number": "949-726-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN J DOLAN III M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-973-2650",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G29683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.