Dorothy Mae Medical Clinic Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A064610 Issued in CA

Legal business name

DOROTHY MAE MEDICAL CLINIC INC.

Practice address

8880 S Broadway
Los Angeles, CA 90003-3635

Phone

(323) 750-1196

Fax

(323) 750-0330

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Jerome Singleton, M.D.NPI 1013918119

Title

Ceo

Phone

(310) 600-6046

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dorothy Mae Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Michael Jerome Singleton, M.D., MBA

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1013918119
  Medicare reassignment Authorized official
• Terri Marie Hannah, NP

  • Nurse Practitioner
  • Los Angeles, CA
  • NPI 1932260254
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1669533907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5167",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920525167",
            "telephone_number": "323-750-1196",
            "fax_number": "323-750-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 S BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900033635",
            "telephone_number": "323-750-1196",
            "fax_number": "323-750-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOROTHY MAE MEDICAL CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "SINGLETON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-600-6046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A064610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "W14542",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dorothy Mae Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dornika Medical, Inc.
• Monica Doron
• Shana Doronn, LCSW, PSY.D
• Elmer Bigayan Dorosan, NP
• Dorothy Klein, M.D., Inc.
• Naghmeh Dorrani, MS
• Jessica Dyan Dorre
• Andrew K. Dorsch, MD
• Daxon T Dorsch
• Alexander Thomas Dorsey

• Primary Care Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.