Active NPI
George Dichter MD Inc
- Internal Medicine Physician
- Simi Valley, CA
National Provider Identifier
1790930402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G40039
- Legal business name
- GEORGE DICHTER MD INC
- Practice address
- 2876 Sycamore Dr
Suite 101
Simi Valley, CA 93065-1530 - Phone
- (805) 527-6424
- Fax
- (805) 522-0115
- NPI assigned
- Nov 21, 2008
- Last updated
- Feb 9, 2009
- 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. George A Dichter, MD
- Title
- President/Owner
- Phone
- (805) 527-6424
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G40039 | CA | Primary |
Addresses
Primary practice location
2876 Sycamore Dr
Suite 101
Simi Valley, CA 93065-1530
Mailing address
2876 Sycamore Dr
Suite 101
Simi Valley, CA 93065-1530
Phone (805) 527-6424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G400390 | Medicaid | CA |
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, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Simi Valley, CA
- NPI 1841265261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234137600000",
"number": "1790930402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2876 SYCAMORE DR",
"address_2": "SUITE 101",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930651530",
"telephone_number": "805-527-6424",
"fax_number": "805-522-0115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2876 SYCAMORE DR",
"address_2": "SUITE 101",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930651530",
"telephone_number": "805-527-6424",
"fax_number": "805-522-0115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE DICHTER MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-21",
"last_updated": "2009-02-09",
"status": "A",
"authorized_official_last_name": "DICHTER",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "805-527-6424",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G40039",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G400390",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.