David Wade Dorfman, MD, DDS

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A106340 Issued in CA

Practice address

6226 E Spring St Ste 380
Long Beach, CA 90815-1444

Phone

(562) 595-6543

Fax

(562) 595-1414

NPI assigned

Oct 13, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Plastic and Reconstructive SurgeryAlso: Maxillofacial Surgery

Education

University of California, Davis School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• David Dorfman MD Inc

  • Plastic and Reconstructive Surgery Physician
  • Long Beach, CA
  • NPI 1508271263
  Medicare reassignment Authorized official
• Parham Tabibian MD Inc

  • Dermatology Physician
  • Los Alamitos, CA
  • NPI 1427114032
  Medicare reassignment NPD
• Michael J Yoo, MD Inc

  • Plastic Surgery Physician
  • Irvine, CA
  • NPI 1750775300
  NPD

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1942535703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6226 E SPRING ST STE 380",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151444",
            "telephone_number": "562-595-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6226 E SPRING ST STE 380",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151444",
            "telephone_number": "562-595-6543",
            "fax_number": "562-595-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORFMAN",
        "first_name": "DAVID",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "MD, DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-13",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "52978",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A106340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackelyn Dorado
• Izabella Doran
• Stephany Dorantes
• Hadassah Malana Dorce
• Tayler Dorch
• Dorothea J Berry DDS, Inc
• Dorothy Akpamgbo
• Andrea Linda Dorsett
• Katrina Renee Dorsey
• Tamara Dorso, POSTPARTUM DOULA

• Plastic Surgery Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.