Individual provider Active NPI

Daniel J Paveloff, MD

  • Physical Medicine & Rehabilitation Physician
  • Mission Hills, CA
National Provider Identifier
1114097847
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
G72593 Issued in CA
Practice address
10630 Sepulveda Blvd
#100
Mission Hills, CA 91345-1938
Phone
(818) 933-4440
Fax
(818) 698-4471
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X G72593 CA Primary

Addresses

Primary practice location

10630 Sepulveda Blvd
#100
Mission Hills, CA 91345-1938

Mailing address

10630 Sepulveda Blvd
#100
Mission Hills, CA 91345-1938
Phone (818) 933-4440

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
I20170206002708 CA Practitioner - Physical Medicine and Rehabilitation 3375642176 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of California, Geffen School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David Taftian DO IncGroup PAC ID 4385980358, 18 clinicians

Practice addresses (Care Compare)

17922 San Fernando Mission Blvd
Granada Hills, CA 91344-4043
Phone (818) 458-5597

Merit-based Incentive Payment System (MIPS)

Final score
85.3 of 100Reported as group
Quality
90
Improvement activities
40
Cost
31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David Taftian DO, Inc Physical Medicine & Rehabilitation CurrentSince Aug 1, 2023 Accepting new patients
Health Atlast West la Inc Physical Medicine & Rehabilitation Current Accepting new patients
Health Atlast West la Physical Medicine & Rehabilitation CurrentSince Jan 2, 2023 Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients

Locations (25 of 61)

1601 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 292-1241

14475 Garden View Ln
Baldwin Park, CA 91706
Phone (626) 962-7095

1900 Grismer Ave
Burbank, CA 91504
Phone (818) 843-2780

21820 Craggy View St
Chatsworth, CA 91311
Phone (818) 882-2833

10610 Owensmouth Ave
Chatsworth, CA 91311
Phone (818) 458-5597

11900 Ramona Blvd
El Monte, CA 91732
Phone (626) 442-5721

630 W Broadway
Glendale, CA 91204
Phone (818) 247-3395

409 W Glenoaks Blvd
Glendale, CA 91202
Phone (818) 240-4300

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

1208 S Central Ave
Glendale, CA 91204
Phone (818) 246-5516

413 E Cypress St
Glendale, CA 91205
Phone (818) 244-2323

1033 E Arrow Hwy
Glendora, CA 91740
Phone (626) 963-7531

10626 Balboa Blvd
Granada Hills, CA 91344
Phone (818) 368-2802

16123 Chatsworth St
Granada Hills, CA 91344
Phone (818) 891-1745

3030 Sawtelle Blvd
Los Angeles, CA 90066
Phone (310) 390-9018

1515 N Alexandria Ave
Los Angeles, CA 90027
Phone (214) 986-3010

2070 Century Park E
Los Angeles, CA 90067
Phone (310) 772-4100

580 S San Vicente Blvd
Los Angeles, CA 90048
Phone (323) 782-1500

8167 W 3rd St
Los Angeles, CA 90048
Phone (323) 655-2023

1035 W Beverly Blvd
Montebello, CA 90640
Phone (323) 721-6589

2123 Verdugo Blvd
Montrose, CA 91020
Phone (818) 249-3925

13000 Victory Blvd
North Hollywood, CA 91606
Phone (818) 985-5990

10425 Magnolia Blvd
North Hollywood, CA 91601
Phone (818) 980-3872

17300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 344-2042

14857 Roscoe Blvd
Panorama City, CA 91402
Phone (818) 667-6488

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19088/brand/1/csg/1/fhir/r4
  • Direct secure messaging: daniel.paveloff@3856.securemail.prognocis.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1114097847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 SEPULVEDA BLVD",
            "address_2": "#100",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451938",
            "telephone_number": "818-933-4440",
            "fax_number": "818-698-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 SEPULVEDA BLVD",
            "address_2": "#100",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451938",
            "telephone_number": "818-933-4440",
            "fax_number": "818-698-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVELOFF",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G72593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.