Individual provider Active NPI

Daniel H Schimmel, MD

  • Diagnostic Radiology Physician
  • Lynwood, CA
National Provider Identifier
1063560472
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G21253 Issued in CA
Practice address
3630 East Imperial Hwy
Lynwood, CA 90262
Phone
(310) 900-8852
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G21253 CA Primary

Addresses

Primary practice location

3630 East Imperial Hwy
Lynwood, CA 90262

Mailing address

PO Box 4505
Woodland Hills, CA 91365-4505
Phone (805) 375-8800

Other identifiers 2

IdentifierTypeStateIssuer
RHL113788OtherCADEPT OF HEALTH SERVICES
00G212530MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050121000869 CA Practitioner - Diagnostic Radiology 2062461551 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Radiology Medical Group Diagnostic Radiology CurrentSince Mar 4, 2013 Accepting new patients
St Francis Radiology Medical Group Diagnostic Radiology CurrentSince Jun 16, 2013 Accepting new patients
County of Los Angeles CurrentSince Apr 26, 2004 Accepting new patients
Torrance Memorial Medical Center Diagnostic Radiology CurrentSince Mar 5, 2013 Accepting new patients
Torrance Memorial Medical Center CurrentSince Mar 5, 2013 Accepting new patients
County of Los Angeles CurrentSince Apr 26, 2004 Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

3630 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 900-7420

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

Organizations & group practices 6

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1063560472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4505",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913654505",
            "telephone_number": "805-375-8800",
            "fax_number": "805-375-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 EAST IMPERIAL HWY",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "90262",
            "telephone_number": "310-900-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIMMEL",
        "first_name": "DANIEL",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G21253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH SERVICES",
            "identifier": "RHL113788",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G212530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

Verify at the official NPI Registry.