Active NPI
Tanya Dansky, M.D.
- Pediatrics Physician
- Fountain Valley, CA
National Provider Identifier
1114098878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A61481
- Practice address
- 17360 Brookhurst St
Fountain Valley, CA 92708-3720 - Phone
- (714) 377-2900
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A61481 | CA | Primary |
Addresses
Primary practice location
17360 Brookhurst St
Fountain Valley, CA 92708-3720
Mailing address
17360 Brookhurst St
Fountain Valley, CA 92708-3720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A614810 | Medicaid | CA |
Other names 1
- Tanya Chacon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61481 | CA | MD | General Practice Dentistry |
| A61481 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1114098878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17360 BROOKHURST ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17360 BROOKHURST ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083720",
"telephone_number": "714-377-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANSKY",
"first_name": "TANYA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A61481",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A614810",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TANYA",
"last_name": "CHACON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.