Individual provider Active NPI

Daniel O Mongiano, M.D.

  • Family Medicine Physician
  • Lancaster, CA
National Provider Identifier
1154436814
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A54903 Issued in CA
Practice address
42220 10TH St W
Ste 109
Lancaster, CA 93534-7075
Phone
(661) 951-9195
Fax
(661) 951-0024
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A54903 CA Primary

Addresses

Primary practice location

42220 10TH St W
Ste 109
Lancaster, CA 93534-7075

Mailing address

42220 10TH St W
Ste 109
Lancaster, CA 93534-7075
Phone (661) 951-9195

Other identifiers 1

IdentifierTypeStateIssuer
00A549030MedicaidCA

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
I20101209000290 CA Practitioner - Family Practice 9638366180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

42220 10TH St W
Lancaster, CA 93534-7075
Phone (661) 951-9195

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel O. Mongiano, MD, a Professional Medical Corporation Family Medicine CurrentSince Aug 2, 2010 Accepting new patients
Kenneth V. Miselis, M.D. Inc. Past Accepting new patients
Healing Touch Rehab, Inc. Past Accepting new patients

Locations

43845 10th St W
Ste 2B
Lancaster, CA 93534
Phone (661) 940-9094

42220 10th St W
Ste 109
Lancaster, CA 93534
Phone (661) 729-4231

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1154436814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42220 10TH ST W",
            "address_2": "STE 109",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347075",
            "telephone_number": "661-951-9195",
            "fax_number": "661-951-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42220 10TH ST W",
            "address_2": "STE 109",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347075",
            "telephone_number": "661-951-9195",
            "fax_number": "661-951-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGIANO",
        "first_name": "DANIEL",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A54903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A549030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.