Individual provider Active NPI

Ian Dworkin

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Los Angeles, CA
National Provider Identifier
1861810368
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
A140257 Issued in CA
Practice address
8436 W 3Rd St Ste 800
Los Angeles, CA 90048-4100
Phone
(855) 906-7246
NPI assigned
Apr 1, 2014
Last updated
Oct 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A140257 CA Primary

Addresses

Primary practice location

8436 W 3Rd St Ste 800
Los Angeles, CA 90048-4100

Mailing address

1130 Lake St Apt 2
Venice, CA 90291-3112
Phone (610) 547-9449

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191210003263 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 7012340771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Jefferson Medical College of Thomas Jefferson University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Newport Care Medical Group IncGroup PAC ID 6901033521, 20 clinicians

Practice addresses (Care Compare)

1041 E Yorba Linda Blvd
Suite 306
Placentia, CA 92870-3751
Phone (949) 491-9991

3560 Arlington Ave
Riverside, CA 92506-3936
Phone (949) 491-9991

3660 Park Sierra Dr
Suite 101
Riverside, CA 92505-3071
Phone (949) 491-9991

3711 Long Beach Blvd
Long Beach, CA 90807-3315
Phone (949) 491-9991

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A140257CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Care Medical Group, Inc Physical Medicine & Rehabilitation CurrentSince Nov 1, 2019 Accepting new patients
Newport Care Medical Group Inc CurrentSince Nov 1, 2019 Accepting new patients
Ian Dworkin, M.D. Inc. Pain Medicine Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients

Locations

3490 Linden Ave
Ste 2
Long Beach, CA 90807
Phone (888) 368-1850

3711 Long Beach Blvd
Ste 101
Long Beach, CA 90807
Phone (310) 963-9727

4281 Katella Ave
Ste 222
Los Alamitos, CA 90720

1711 W Temple St
Ste 4675
Los Angeles, CA 90026
Phone (213) 483-6563

40700 California Oaks Rd
Ste 205
Murrieta, CA 92562
Phone (951) 304-3180

1600 Dove St
Ste 335
Newport Beach, CA 92660
Phone (949) 395-8246

3300 W Coast Hwy
Newport Beach, CA 92663
Phone (949) 610-1042

441 Old Newport Blvd
Newport Beach, CA 92663
Phone (714) 309-9270

441 Old Newport Blvd
Ste 201
Newport Beach, CA 92663

2617 E Chapman Ave
Ste 110
Orange, CA 92869
Phone (714) 633-0011

1041 E Yorba Linda Blvd
Ste 306
Placentia, CA 92870
Phone (714) 577-9500

3560 Arlington Ave
Riverside, CA 92506
Phone (909) 680-1200

3660 Park Sierra Dr
Ste 101
Riverside, CA 92505
Phone (877) 357-4777

4354 Latham St
Ste 100
Riverside, CA 92501
Phone (909) 787-1101

1386 W 7th St
Ste 306
San Pedro, CA 90732

28780 Single Oak Dr
Ste 270
Temecula, CA 92590
Phone (951) 600-1795

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: idworkin634031@direct.memorialcare.org

Organizations & group practices 4

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1861810368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 LAKE ST APT 2",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913112",
            "telephone_number": "610-547-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8436 W 3RD ST STE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484100",
            "telephone_number": "855-906-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWORKIN",
        "first_name": "IAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A140257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.