Maxwell a. Dartey, M.D., Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A33447 Issued in CA

Legal business name

MAXWELL A. DARTEY, M.D., INC.

Practice address

1360 W 6TH St
Suite 165
San Pedro, CA 90732-3514

Phone

(310) 241-1350

Fax

(310) 241-1357

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Maxwell A. Dartey, M.D.

Title

Owner

Phone

(310) 241-1350

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801901749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST",
            "address_2": "SUITE 165",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323514",
            "telephone_number": "310-241-1350",
            "fax_number": "310-241-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST",
            "address_2": "SUITE 165",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323514",
            "telephone_number": "310-241-1350",
            "fax_number": "310-241-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXWELL A. DARTEY, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DARTEY",
        "authorized_official_first_name": "MAXWELL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-241-1350",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A33447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. DARTEY'S PERSONAL NPI",
            "identifier": "1841202983",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Damien Mata
• Julia Mathews, PT, NCS
• Brianna Aiko Matsuura
• Joseph Anthony Mattera
• Maureen Mulvihill, MD PC
• Jamie Maxwell
• Raymond J Mazuchowski Jr., DDS
• Brittney Mari Mazzaglia, LCSW
• John Susumu McCall, M.D.
• Tiffany Nicole McCluskey, CATC-R

• Obstetrics & Gynecology Physician in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.