Organization Active NPI

Dynamic Medical Center, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Sunnyvale, CA
National Provider Identifier
1801845888
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
DYNAMIC MEDICAL CENTER, INC.
Practice address
1214 Apollo Way
Suite 401
Sunnyvale, CA 94085-5413
Phone
(408) 733-1032
Fax
(408) 733-0000
NPI assigned
May 8, 2006
Last updated
Oct 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Dr. Parvez Mehboob Fatteh, M.D.NPI 1194774075
Title
President
Phone
(415) 252-4333

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

1214 Apollo Way
Suite 401
Sunnyvale, CA 94085-5413

Mailing address

1214 Apollo Way
Suite 401
Sunnyvale, CA 94085-5413
Phone (408) 733-1032

National Provider Directory

National Provider Directory

Locations

1214 Apollo Way
Ste 401
Sunnyvale, CA 94085
Phone (408) 733-1032

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1801845888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 APOLLO WAY",
            "address_2": "SUITE 401",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940855413",
            "telephone_number": "408-733-1032",
            "fax_number": "408-733-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 APOLLO WAY",
            "address_2": "SUITE 401",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940855413",
            "telephone_number": "408-733-1032",
            "fax_number": "408-733-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "FATTEH",
        "authorized_official_first_name": "PARVEZ",
        "authorized_official_middle_name": "MEHBOOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-252-4333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.