Active NPI
Bryan Cassim Doo, M.D., a Medical Corporation
- Medical Specialty Clinic/Center
- Whittier, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- A65648
- Legal business name
- BRYAN CASSIM DOO, M.D., A MEDICAL CORPORATION
- Practice address
- 9209 Colima Rd
Suite 4500
Whittier, CA 90605-1800 - Phone
- (951) 278-5590
- Fax
- (951) 272-9924
- NPI assigned
- May 11, 2007
- Last updated
- Aug 4, 2011
- 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
- Bryan Cassim Doo, M.D.
- Title
- President
- Phone
- (951) 278-5590
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | A65648 | CA | Primary |
Addresses
Primary practice location
9209 Colima Rd
Suite 4500
Whittier, CA 90605-1800
Mailing address
P.O. Box 77790
Corona, CA 92877-0126
Phone (951) 278-5590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A656480 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Bryan Cassim Doo MD a Medical Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Medical Specialty Clinic/Center
- Whittier, CA
- NPI 1710009741
Locations
355 E Rincon St
Ste 105
Corona, CA 92879
9209 Colima Rd
Ste 4500
Whittier, CA 90605
Phone (562) 696-5088
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Infectious Disease Physician
- Whittier, CA
- NPI 1962500058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312416000000",
"number": "1962617332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 77790",
"city": "CORONA",
"state": "CA",
"postal_code": "928770126",
"telephone_number": "951-278-5590",
"fax_number": "951-272-9924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9209 COLIMA RD",
"address_2": "SUITE 4500",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906051800",
"telephone_number": "951-278-5590",
"fax_number": "951-272-9924"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRYAN CASSIM DOO, M.D., A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-11",
"last_updated": "2011-08-04",
"status": "A",
"authorized_official_last_name": "DOO",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "CASSIM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "951-278-5590",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "CA",
"license": "A65648",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A656480",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.