Organization Active NPI

DPC Medical Group, P.C.

  • Family Medicine Physician
  • Tacoma, WA
National Provider Identifier
1932455367
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DPC MEDICAL GROUP, P.C.
Practice address
1250 Pacific Ave
Suite 110
Tacoma, WA 98402-4318
Phone
(253) 272-0269
Fax
(877) 597-0475
NPI assigned
Aug 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
Dr. Amar Desai, M.D.
Title
Ceo
Phone
(310) 536-2647

Specialties & licenses 1

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

Addresses

Primary practice location

1250 Pacific Ave
Suite 110
Tacoma, WA 98402-4318

Mailing address

1250 Pacific Ave
Suite 110
Tacoma, WA 98402-4318
Phone (253) 272-0269

National Provider Directory

National Provider Directory

Locations

1250 Pacific Ave
Ste 110
Tacoma, WA 98402
Phone (253) 272-0269

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1932455367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 PACIFIC AVE",
            "address_2": "SUITE 110",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024318",
            "telephone_number": "253-272-0269",
            "fax_number": "877-597-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 PACIFIC AVE",
            "address_2": "SUITE 110",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024318",
            "telephone_number": "253-272-0269",
            "fax_number": "877-597-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DPC MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "AMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-536-2647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.