Dorsa F. Maryska, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A92799 Issued in CA

Practice address

101 E Beverly Blvd Ste 304
Montebello, CA 90640-4316

Phone

(323) 722-7418

Fax

(323) 722-7894

NPI assigned

Jul 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Dorsa F Nasseri-Noori Former name

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

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Kidney Specialists Medical CorporationGroup PAC ID 6507823556, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Huntington Park Dialysis Dialysis facility, Huntington Park, CA, CCN 552667
• DaVita Monterey Park Dialysis Center Dialysis facility, Monterey Park, CA, CCN 052700
• DaVita Universal Huntington Park Dialysis facility, Vernon, CA, CCN 752503
• DaVita Bluff Rd Dialysis Dialysis facility, Montebello, CA, CCN 552773
• USRC Montebello Dialysis Dialysis facility, Montebello, CA, CCN 052843
• Pih Health Downey Hospital Hospital, Downey, CA, CCN 050393

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: dorsa.maryska@direct.davitaphysiciansolutions.com

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.

• Kidney Specialists Medical Corporation

  • Nephrology Physician
  • Montebello, CA
  • NPI 1184735235
  Medicare reassignment Care Compare group NPD Authorized official
• County of Los Angeles

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1851363188
  Medicare reassignment NPD
• Dorsa Nasseri Maryska M.D., Inc.

  • Nephrology Physician
  • Montebello, CA
  • NPI 1528374170
  NPD Authorized official
• County of Los Angeles

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1295407401
  NPD
• Ahmc Whittier Hospital Medical Center LP

  • Medicare Defined Swing Bed Hospital Unit
  • Whittier, CA
  • NPI 1497855605
  NPD (past)
• CHHP Holdings II, LLC

  • General Acute Care Hospital
  • Huntington Park, CA
  • NPI 1891059127
  NPD (past)
• Eladh, LP

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1417957473
  NPD (past)
• Hospital of Barstow Inc

  • General Acute Care Hospital
  • Barstow, CA
  • NPI 1780655670
  NPD (past)
• Mark Lee M.D., Inc.

  • Specialist
  • Whittier, CA
  • NPI 1568587236

  Nephrology

  NPD (past)
• Pih Health Downey Hospital

  • General Acute Care Hospital
  • Downey, CA
  • NPI 1265433551
  NPD (past)
• Pih Health Whittier Hospital

  • General Acute Care Hospital
  • Whittier, CA
  • NPI 1043215379
  NPD (past)
• St Francis Medical Center

  • Long Term Care Hospital
  • Lynwood, CA
  • NPI 1346378270
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Huntington Park Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Huntington Park, CA
  • NPI 1124261854

  Dialysis facility

  Care Compare affiliation Name & address match
• Montebello Dialysis Center, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Montebello, CA
  • NPI 1548231251

  Dialysis facility

  Care Compare affiliation Name & address match
• Pokagon Dialysis, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Montebello, CA
  • NPI 1679990543

  Dialysis facility

  Care Compare affiliation Name & address match
• Terre Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Vernon, CA
  • NPI 1104476175

  Dialysis facility

  Care Compare affiliation Name & address match
• Pih Health Downey Hospital

  • General Acute Care Hospital
  • Downey, CA
  • NPI 1265433551
  Care Compare affiliation

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1851598866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD STE 304",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404316",
            "telephone_number": "323-722-7418",
            "fax_number": "323-722-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD STE 304",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404316",
            "telephone_number": "323-722-7418",
            "fax_number": "323-722-7894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11147 East Washington Boulevard",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "90606",
            "country_code": "US",
            "telephone_number": "562-695-6988",
            "fax_number": "562-692-2093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6513 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Bell",
            "state": "CA",
            "postal_code": "902012521",
            "country_code": "US",
            "telephone_number": "323-722-7418",
            "fax_number": "323-722-7894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARYSKA",
        "first_name": "DORSA",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A97299",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A92799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CS168Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DORSA",
            "last_name": "NASSERI-NOORI",
            "middle_name": "F",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eunice Martinez
• Jorge Martinez, M.D.
• Julie Ann Martinez, CCDC
• Marjorie Martinez
• Yvonne Chamalbide Martinez
• Harold Susumu Masuda, O.D.
• David Mathews, LAADC
• Aeshna Mathur, DMD
• Casie Lee McGuire, NP
• Nicola Juanita McKellop, FNP

• Nephrology Physician in Montebello, CA
• Providers in Montebello, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.