Individual provider Active NPI

Dean Prince, MD

  • Surgery Physician
  • Van Nuys, CA
National Provider Identifier
1922539618
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A176491 Issued in CA
Practice address
14501 Calvert St Ste 200
Van Nuys, CA 91411-2806
Phone
(973) 971-5000
NPI assigned
Mar 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A176491 CA Primary

Addresses

Primary practice location

14501 Calvert St Ste 200
Van Nuys, CA 91411-2806

Mailing address

14501 Calvert St Ste 200
Van Nuys, CA 91411-2806

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
I20240409004850 CA Practitioner - General Surgery 7113365164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas J Lomis M D Inc a Professional CorporationGroup PAC ID 9739145806, 12 clinicians

Practice addresses (Care Compare)

15211 Vanowen St
Suite 200
Van Nuys, CA 91405-3606
Phone (310) 987-7873

15211 Vanowen St
Suite 208
Van Nuys, CA 91405-3623
Phone (818) 782-3255

Hospital & facility affiliations

  • Valley Presbyterian Hospital Hospital, Van Nuys, CA, CCN 050126

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)11
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A176491CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas J Lomis, MD, Inc. a Professional Corporation CurrentSince Jan 22, 2024 Accepting new patients
Dean Prince MD Inc Surgery CurrentSince Oct 3, 2022 Accepting new patients

Locations

15211 Vanowen St
Ste 208
Van Nuys, CA 91405
Phone (818) 343-0705

15211 Vanowen St
Ste 200
Van Nuys, CA 91405
Phone (310) 987-7873

14501 Calvert St
Ste 200
Van Nuys, CA 91411
Phone (310) 987-7873

Organizations & group practices 2

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.

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": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1922539618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14501 CALVERT ST STE 200",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14501 CALVERT ST STE 200",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112806",
            "telephone_number": "973-971-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A176491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.