Organization Active NPI

Dreamweaver Consultancy, a Medical Corporation

Doing business as Dreamweaver Medical Group

  • Family Medicine Physician
  • San Gabriel, CA
National Provider Identifier
1922292267
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G32125 Issued in CA
Legal business name
DREAMWEAVER CONSULTANCY, A MEDICAL CORPORATION
Doing business as
Dreamweaver Medical Group
Practice address
420 W Las Tunas Drive
San Gabriel, CA 91776-1268
Phone
(626) 296-9500
Fax
(626) 296-9505
NPI assigned
Aug 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Authorized official

Name
Mr. Stanley Toy Jr., M.D.
Title
President
Phone
(626) 296-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G32125 CA Primary

Addresses

Primary practice location

420 W Las Tunas Drive
San Gabriel, CA 91776-1268

Mailing address

420 W Las Tunas Drive
San Gabriel, CA 91776-1268
Phone (626) 296-9500

Other identifiers 2

IdentifierTypeStateIssuer
1922292299MedicaidCA
1922292267MedicaidCA

Other names 1

  • Dreamweaver Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

420 W Las Tunas Dr
San Gabriel, CA 91776
Phone (626) 296-9500

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1922292267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W LAS TUNAS DRIVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761268",
            "telephone_number": "626-296-9500",
            "fax_number": "626-296-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W LAS TUNAS DRIVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761268",
            "telephone_number": "626-296-9500",
            "fax_number": "626-296-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAMWEAVER CONSULTANCY, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "TOY",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-296-9500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G32125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922292299",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922292267",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dreamweaver Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.