Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dino T Deconcini, MD

Individual provider Urology Physician · NPI 1689666307

Dino T Deconcini, MD is an Urology in Santa Monica, California. Graduated from Columbia University College of Physicians and Surgeons in 1992, 34 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
34
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
CA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2021 Santa Monica Blvd 510E
Santa Monica, CA 90404-2160
Phone: (310) 828-8531
Fax: (310) 829-2711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence G84439 (CA)

Record details

NPI number1689666307
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 18, 2005
Last updated in NPPESJuly 14, 2023
Certification dateJuly 14, 2023
Mailing address2021 Santa Monica Blvd Ste 510e, Santa Monica, CA 90404-2160

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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