Active NPI
Lee Jay Dolowich, M.D.
- Psychiatry Physician
- Garden Grove, CA
National Provider Identifier
1831496900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A124398
- Practice address
- 12772 Valley View St
Garden Grove, CA 92845-2506 - Phone
- (714) 906-4765
- NPI assigned
- Feb 24, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A124398 | CA | Primary |
Addresses
Primary practice location
12772 Valley View St
Garden Grove, CA 92845-2506
Mailing address
12772 Valley View St Ste 3
Garden Grove, CA 92845-2506
Phone (714) 906-4765
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A124398 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664496000000",
"number": "1831496900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12772 VALLEY VIEW ST STE 3",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928452506",
"telephone_number": "714-906-4765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12772 VALLEY VIEW ST",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928452506",
"telephone_number": "714-906-4765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLOWICH",
"first_name": "LEE",
"middle_name": "JAY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-24",
"last_updated": "2022-09-30",
"certification_date": "2022-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A124398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.