Individual provider Active NPI

Danielle Y Mantini Reinoso, PA-C

  • Physician Assistant
  • Arcadia, CA
National Provider Identifier
1063448074
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17136 Issued in CA
Practice address
289 W Huntington Dr Ste 103
Arcadia, CA 91007-3492
Phone
(626) 821-0707
Fax
(626) 821-0239
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA17136 CA
Physician Assistant 363A00000X PA17136 CA Primary

Addresses

Primary practice location

289 W Huntington Dr Ste 103
Arcadia, CA 91007-3492

Mailing address

4140 W 190TH St
Torrance, CA 90504-5513
Phone (626) 795-8051

Other practice location 1

3142 Vista Way Suite 207
Oceanside, CA 92056-3619
Phone (760) 610-0522

Other practice location 2

6815 Noble Ave
Van Nuys, CA 91405-3796
Phone (818) 901-6600

Other practice location 3

375 Rolling Oaks Dr Ste 210
Thousand Oaks, CA 91361-1028
Phone (805) 497-7015

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040209000668 CA Practitioner - Physician Assistant 7113811589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

2611 E Washington Blvd
Pasadena, CA 91107-1412
Phone (626) 797-2002

2615 E Washington Blvd
Pasadena, CA 91107-1412
Phone (626) 797-2002

2627 E Washington Blvd
Pasadena, CA 91107-1412
Phone (626) 797-2002

289 W Huntington Dr
Arcadia, CA 91007-3495

289 W Huntington Dr
Suite 103
Arcadia, CA 91007-3492
Phone (626) 821-0707

8635 W 3Rd St
Suite 465W
Los Angeles, CA 90048-6111
Phone (310) 423-0674

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
17136CAMDClinical Social Worker
PA17136CAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: dmantinireinoso695116@direct.uclahealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1063448074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W 190TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045513",
            "telephone_number": "626-795-8051",
            "fax_number": "626-795-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 W HUNTINGTON DR STE 103",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073492",
            "telephone_number": "626-821-0707",
            "fax_number": "626-821-0239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3142 Vista Way Suite 207",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920563619",
            "country_code": "US",
            "telephone_number": "760-610-0522",
            "fax_number": "760-610-0523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6815 Noble Ave",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914053796",
            "country_code": "US",
            "telephone_number": "818-901-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "375 Rolling Oaks Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913611028",
            "country_code": "US",
            "telephone_number": "805-497-7015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANTINI REINOSO",
        "first_name": "DANIELLE",
        "middle_name": "Y",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA17136",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.