Individual provider Active NPI

Eugene Ralph Dorio, M.D.

  • Internal Medicine Physician
  • Valencia, CA
National Provider Identifier
1912956434
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A41829 Issued in CA
Practice address
23823 Valencia Blvd
Suite 230
Valencia, CA 91355-2103
Phone
(661) 254-5554
Fax
(661) 254-9643
NPI assigned
May 10, 2006
Last updated
Dec 22, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A41829 CA Primary

Addresses

Primary practice location

23823 Valencia Blvd
Suite 230
Valencia, CA 91355-2103

Mailing address

23823 Valencia Blvd
Suite 230
Valencia, CA 91355-2103
Phone (661) 254-5554

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
I20061109000484 CA Practitioner - Internal Medicine 1850399650 Practice locations: Valencia, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000CAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sum Tran MD Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1912956434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23823 VALENCIA BLVD",
            "address_2": "SUITE 230",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552103",
            "telephone_number": "661-254-5554",
            "fax_number": "661-254-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23823 VALENCIA BLVD",
            "address_2": "SUITE 230",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552103",
            "telephone_number": "661-254-5554",
            "fax_number": "661-254-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORIO",
        "first_name": "EUGENE",
        "middle_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A41829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.