Active NPI
Dorsal Medical Group of California, P.C.
- Physical Medicine & Rehabilitation Physician
- New York, NY
National Provider Identifier
1962022186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- DORSAL MEDICAL GROUP OF CALIFORNIA, P.C.
- Practice address
- 600 3Rd Ave FL 2
New York, NY 10016-1919 - Phone
- (833) 988-0589
- NPI assigned
- Apr 17, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Jin
- Title
- Manager
- Phone
- (833) 988-0589
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary | ||
| Physical Therapist | 225100000X |
Addresses
Primary practice location
600 3Rd Ave FL 2
New York, NY 10016-1919
Mailing address
315 Montgomery St FL 10
San Francisco, CA 94104-1823
Other practice location 1
315 Montgomery St Fl 10
San Francisco, CA 94104-1823
Phone (833) 988-0589
National Provider Directory
National Provider DirectoryLocations
315 Montgomery St
Fl 10
San Francisco, CA 94104
Phone (408) 768-9596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596412800000",
"number": "1962022186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 MONTGOMERY ST FL 10",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941041823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 3RD AVE FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100161919",
"telephone_number": "833-988-0589"
}
],
"practiceLocations": [
{
"address_1": "315 Montgomery St Fl 10",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941041823",
"country_code": "US",
"telephone_number": "833-988-0589",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DORSAL MEDICAL GROUP OF CALIFORNIA, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-17",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A",
"authorized_official_last_name": "JIN",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "833-988-0589"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.