DORNIKA MEDICAL, INC.
NPI 1417365545
Family Medicine in Los Angeles, CA

Active since August 01, 2014
2121 S SAN PEDRO ST, UNIT E, LOS ANGELES, CA 90011(213) 747-0300(213) 746-0044 Get Directions Write a Review

NPPES record last updated: August 1, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dornika Medical, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DORNIKA MEDICAL, INC. (NPI 1417365545) is a healthcare organization registered as a family medicine in Los Angeles, California and active in the NPI registry since August 2014. The organization lists Bijan Motamedi, Part Owner, as its authorized official.

NPPES Registry Identity

NPI1417365545
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDORNIKA MEDICAL, INC.
Location Address2121 S SAN PEDRO ST, UNIT ELos Angeles, CA 90011-1160
Mailing Address125 OasisIrvine, CA 92620-7315 · (213) 747-0300 · Fax (213) 746-0044
Fax(213) 746-0044
Organization SubpartNo
Authorized OfficialBijan MotamediPart Owner · (213) 747-0300
Enumeration DateAugust 1, 2014
✔ NPI 1417365545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A76326
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2121 S SAN PEDRO ST, Los Angeles, CA 90011

Other Identifiers 2

OtherA76326CA · Provider Liscense
Medicare UPINH40965CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dornika Medical, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dornika Medical, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1801834171
15107 VANOWEN ST
Van Nuys, CA 91405
(818) 902-2990
✔ PECOS✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dornika Medical, Inc.'s NPI number?

The NPI number for Dornika Medical, Inc. is 1417365545. It was assigned to this organization in the NPPES registry on August 1, 2014.

Where is Dornika Medical, Inc. located?

Dornika Medical, Inc. is located at 2121 S San Pedro St Unit E, Los Angeles, CA 90011. The listed phone number is (213) 747-0300.

What is Dornika Medical, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dornika Medical, Inc. enrolled in Medicare?

Yes. Dornika Medical, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dornika Medical, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Dornika Medical, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dornika Medical, Inc. was last updated on August 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.