Dino T. Deconcini MD Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G84439 Issued in CA

Legal business name

DINO T. DECONCINI MD INC

Practice address

2021 Santa Monica Blvd
510 E
Santa Monica, CA 90404-2160

Phone

(310) 828-8531

Fax

(310) 829-2711

NPI assigned

Jul 31, 2007

Last updated

Jul 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dino T Deconcini, MDNPI 1689666307

Title

Physician, Owner

Phone

(310) 828-8531

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: dinodeconcini@pacificuro.medalliesdirect.net
• Direct secure messaging: lesliekaplan@pacificuro.medalliesdirect.net
• Direct secure messaging: stanleybrosman@pacificuro.medalliesdirect.net

Practitioners 3

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.

• Dino T Deconcini, MD

  • Urology Physician
  • Santa Monica, CA
  • NPI 1689666307
  Medicare reassignment NPD Authorized official
• Stanley Allen Brosman, MD

  • Urology Physician
  • Santa Monica, CA
  • NPI 1255416335
  NPD
• Leslie M Kaplan, MD

  • Urology Physician
  • Santa Monica, CA
  • NPI 1801888086
  NPD

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1770773269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD",
            "address_2": "510 E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042160",
            "telephone_number": "310-828-8531",
            "fax_number": "310-829-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD",
            "address_2": "510 E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042160",
            "telephone_number": "310-828-8531",
            "fax_number": "310-829-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DINO T. DECONCINI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "DECONCINI",
        "authorized_official_first_name": "DINO",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN, OWNER",
        "authorized_official_telephone_number": "310-828-8531",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G84439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Digestive Health Associates of Southern California
• Uzoamaka Kimberly Ezendu Dike, M.D.
• Kira Dimitroff
• Stela Ninkova Dimitrova-Munro I, DDS
• Rebecca Dimundo, MD
• Melissa Ann Dinolfo, PHARM.D.
• Carrie Dinow
• Sydney Diop
• Direct Diagnostic Labs LLC
• Directed Interventional Surgery Ctr Inc a Professional Medical Corp

• Urology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.