NPIMap

Individual provider Active NPI

Delfin Leonardo Dano, MD

  • Pediatrics Physician
  • Rialto, CA
National Provider Identifier
1164505020
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A53019 Issued in CA
Practice address
1850 N Riverside Ave
Suite 210
Rialto, CA 92376-8071
Phone
(909) 562-0012
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A53019 CA Primary

Addresses

Primary practice location

1850 N Riverside Ave
Suite 210
Rialto, CA 92376-8071

Mailing address

1850 N Riverside Ave
Suite 210
Rialto, CA 92376-8071
Phone (909) 562-0012

Other identifiers 1

IdentifierTypeStateIssuer
00A530190MedicaidCA

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A53019CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loma Linda University Medical Center Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
Dignity Health Past Accepting new patients
Mayflower Medical Group, Inc. Pediatrics Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1164505020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 N RIVERSIDE AVE",
            "address_2": "SUITE 210",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768071",
            "telephone_number": "909-562-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 N RIVERSIDE AVE",
            "address_2": "SUITE 210",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768071",
            "telephone_number": "909-562-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANO",
        "first_name": "DELFIN",
        "middle_name": "LEONARDO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A53019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A530190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.