Maxwell A. Dartey, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A33447 Issued in CA

Practice address

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

Phone

(310) 241-1350

Fax

(310) 241-1357

NPI assigned

Aug 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• First Aid Urgent Care Inc

  • Urgent Care Clinic/Center
  • Tujunga, CA
  • NPI 1760889190
  Medicare reassignment NPD
• Tmogi Inc

  dba Torrance Memorial OB/GYN Intensivists

  • Obstetrics & Gynecology Physician
  • Torrance, CA
  • NPI 1942503958
  Medicare reassignment NPD
• Anaheim Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Anaheim, CA
  • NPI 1962680033
  NPD (past)
• West Coast Urgent Care Centers - Pasadena Inc

  • Urgent Care Clinic/Center
  • Pasadena, CA
  • NPI 1306196712
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1841202983",
    "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": {
        "last_name": "DARTEY",
        "first_name": "MAXWELL",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A33447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A334470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sahar Dakar
• Laurie Lin Dalton, B.A.
• Alex Tuan Dang, MD
• Binh Dang, MD
• Sean Dare
• Farina Yasmin Dary
• David E Feldman, M.D., Inc.
• David J. Campisi, M.D., a Medical Corporation
• David Martin D.D.S., Inc.
• Heather Adrienne Davidson, LCSW

• 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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.