Healthcare Provider Details

I. General information

NPI: 1225947252
Provider Name (Legal Business Name): RICHARD H DORSAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12120 SARAGLEN DR
SARATOGA CA
95070-3221
US

IV. Provider business mailing address

12120 SARAGLEN DR
SARATOGA CA
95070-3221
US

V. Phone/Fax

Practice location:
  • Phone: 408-891-4977
  • Fax:
Mailing address:
  • Phone: 408-891-4977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License NumberG16001
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: