Sid Abraham Danesh, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A39428 Issued in CA

Practice address

316 E Las Tunas Dr
Suite 103
San Gabriel, CA 91776-1535

Phone

(626) 287-9949

Fax

(626) 287-2982

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625
• San Gabriel Valley Medical Center Hospital, San Gabriel, CA, CCN 050132

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahmc San Gabriel Valley Medical

  • General Acute Care Hospital
  • San Gabriel, CA
  • NPI 1275720377
  Care Compare affiliation
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1639172372
  Care Compare affiliation
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • West Hollywood, CA
  • NPI 1891940326
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063447134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 E LAS TUNAS DR",
            "address_2": "SUITE 103",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761535",
            "telephone_number": "626-287-9949",
            "fax_number": "626-287-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E LAS TUNAS DR",
            "address_2": "SUITE 103",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761535",
            "telephone_number": "626-287-9949",
            "fax_number": "626-287-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANESH",
        "first_name": "SID",
        "middle_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A39428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A394280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audrey Michelle Cristales, RDN
• Sonia Cruz
• Chelsea Cuevas
• CVS
• D & U LLC
• Daniel D Cheng D D S Inc
• David C P Chen, M.D., Inc
• David S. Lee, DDS., Inc., Dba Modern Dental
• David Yutuc MD Inc
• Martha Rose Lopez De Armas, LCSW

• Dermatology Physician in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.