Provider Demographics
NPI:1366457764
Name:DOLPHIN HEALTH INC
Entity Type:Organization
Organization Name:DOLPHIN HEALTH INC
Other - Org Name:DOLPHIN HEALTH PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NITAL
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-900-3131
Mailing Address - Street 1:7400 MACARTHUR BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94605-2939
Mailing Address - Country:US
Mailing Address - Phone:510-900-3131
Mailing Address - Fax:510-638-7590
Practice Address - Street 1:7400 MACARTHUR BLVD
Practice Address - Street 2:STE A
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-2939
Practice Address - Country:US
Practice Address - Phone:510-900-3131
Practice Address - Fax:510-638-7590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2022-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0003X
CAPHY457433336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2002549OtherPK
CAPHA457430Medicaid
CAPHA457430Medicaid