Individual provider Active NPI

Daniel Fenton

  • Clinical Neuropsychologist
  • West Hollywood, CA
National Provider Identifier
1154875961
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY33655 Issued in CA
Practice address
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone
(310) 423-3933
Fax
(310) 248-8710
NPI assigned
Aug 10, 2016
Last updated
Jul 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY33655 CA Primary

Addresses

Primary practice location

8700 Beverly Blvd
West Hollywood, CA 90048-1804

Mailing address

4140 W 190TH St
Torrance, CA 90504-5513

Other practice location 1

4126 Opal St
7
Oakland, CA 94609-2672
Phone (310) 948-8709

Other practice location 2

444 S San Vicente Blvd Ste 103
Los Angeles, CA 90048-4169
Phone (310) 423-9722

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230803002560 CA Practitioner - Clinical Psychologist 7416318662 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Extra Years Psychology California PCGroup PAC ID 3678075165, 4 clinicians
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians
Cedars-Sinai Medical CenterGroup PAC ID 0446169114, 788 clinicians

Practice addresses (Care Compare)

Los Angeles, CA 90004
Phone (425) 270-7631

2070 Century Park E
Los Angeles, CA 90067-1907
Phone (626) 312-1104

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-3277

Merit-based Incentive Payment System (MIPS)

Final score
93.23 of 100Reported as group
Quality
77.83
Promoting interoperability
98
Improvement activities
40
Cost
71.17

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY33655CAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Psychology New York P.C. Current Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Aug 20, 2023 Accepting new patients
Extra Years Psychology California PC CurrentSince Apr 7, 2025 Accepting new patients
Extrayears Psychology Texas PA CurrentSince Oct 1, 2025 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Jul 6, 2023 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Jul 6, 2023 Accepting new patients

Locations

415 N Crescent Dr
Ste 300
Beverly Hills, CA 90210
Phone (310) 657-8400

325 N Larchmont Blvd
Los Angeles, CA 90004
Phone (323) 466-1414

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

444 S San Vicente Blvd
Ste 103
Los Angeles, CA 90048
Phone (310) 423-9722

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

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

999 3rd Ave
Ste 3300
Seattle, WA 98104
Phone (206) 801-1621

1201 2nd Ave
Ste 900
Seattle, WA 98101
Phone (206) 801-1621

Organizations & group practices 7

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": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1154875961",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481804",
            "telephone_number": "310-423-3933",
            "fax_number": "310-248-8710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4126 Opal St",
            "address_2": "7",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946092672",
            "country_code": "US",
            "telephone_number": "310-948-8709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "444 S San Vicente Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900484169",
            "country_code": "US",
            "telephone_number": "310-423-9722",
            "fax_number": "310-248-8710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENTON",
        "first_name": "DANIEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-10",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY33655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.