Dunecrest Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A60458 Issued in CA

Legal business name

DUNECREST MEDICAL GROUP

Practice address

232 Reservation Rd
Marina, CA 93933-3083

Phone

(831) 384-0662

Fax

(831) 384-0754

NPI assigned

Nov 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Deborah Brown, MDNPI 1376546044

Title

President/ Owner

Phone

(831) 384-0662

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Deborah Brown, M.D.

  • Family Medicine Physician
  • Marina, CA
  • NPI 1376546044

  CA, Family Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1710131370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 RESERVATION RD",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939333083",
            "telephone_number": "831-384-0662",
            "fax_number": "831-384-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 RESERVATION RD",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939333083",
            "telephone_number": "831-384-0662",
            "fax_number": "831-384-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNECREST MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "831-384-0662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A60458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Robin Dillard
• Sergio Dizon, CMT
• DM Boado Dental Corporation
• Shivani Prasanna Dongre
• Angelika Drake, NP
• Lindsay Allie Duplechain
• Andre Lamar Edwards, N.P.
• May Mohamed Mohamed M Elshamy
• Christina Elvin
• Rosanna Erbe, MSW

• All providers in Marina, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.