Active NPI
Danielle N Dabbs DO Inc
- Trauma Surgery Physician
- Lynwood, CA
National Provider Identifier
1750642138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 20A8807
- Legal business name
- DANIELLE N DABBS DO INC
- Practice address
- 3630 E Imperial Hwy
Lynwood, CA 90262-2609 - Phone
- (213) 700-8904
- Fax
- (310) 586-8215
- NPI assigned
- Jun 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Danielle N Dabbs, D.O.
- Title
- President/Ceo
- Phone
- (213) 700-8904
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 20A8807 | CA | |
| Surgical Critical Care Physician | 2086S0102X | 20A8807 | CA | |
| Trauma Surgery Physician | 2086S0127X | 20A8807 | CA | Primary |
Addresses
Primary practice location
3630 E Imperial Hwy
Lynwood, CA 90262-2609
Mailing address
PO Box 67033
Los Angeles, CA 90067-0033
Phone (213) 700-8904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Trauma Surgery Physician
- Mission Hills, CA
- NPI 1891999215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395273600000",
"number": "1750642138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 67033",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900670033",
"telephone_number": "213-700-8904",
"fax_number": "310-586-8215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3630 E IMPERIAL HWY",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902622609",
"telephone_number": "213-700-8904",
"fax_number": "310-586-8215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIELLE N DABBS DO INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-02",
"last_updated": "2014-03-20",
"status": "A",
"authorized_official_last_name": "DABBS",
"authorized_official_first_name": "DANIELLE",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "213-700-8904",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": "20A8807",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgical Critical Care",
"state": "CA",
"license": "20A8807",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Trauma Surgery",
"state": "CA",
"license": "20A8807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.