Individual provider Active NPI

Daniel S Dunkelman, M.D.

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1164571055
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A33660 Issued in CA
Practice address
8635 W 3Rd St Ste 350W
Los Angeles, CA 90048-6112
Phone
(310) 595-2700
Fax
(424) 278-1390
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A33660 CA Primary

Addresses

Primary practice location

8635 W 3Rd St Ste 350W
Los Angeles, CA 90048-6112

Mailing address

8635 W 3Rd St Ste 350W
Los Angeles, CA 90048-6112
Phone (310) 595-2700

Other identifiers 1

IdentifierTypeStateIssuer
00A336600MedicaidCA

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
I20100909000154 CA Practitioner - General Surgery 7012819881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8635 W 3Rd St
Suite 350W
Los Angeles, CA 90048-6112
Phone (310) 595-2700

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A33660CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars Towers Surgical Medical Group CurrentSince Jul 1, 1982 Accepting new patients
East Los Angeles Clinica Medica General Medical Center Inc Current Accepting new patients
Huntington Park Clinica Medica General, Medical Center, Inc PastSince Jun 15, 1997 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

8635 W 3rd St
Ste 350W
Los Angeles, CA 90048
Phone (310) 358-9008

8631 W 3rd St
Ste 235E
Los Angeles, CA 90048
Phone (310) 358-9008

505 N Main St
Santa Ana, CA 92701
Phone (714) 567-0101

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

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.

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1164571055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST STE 350W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486112",
            "telephone_number": "310-595-2700",
            "fax_number": "424-278-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST STE 350W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486112",
            "telephone_number": "310-595-2700",
            "fax_number": "424-278-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNKELMAN",
        "first_name": "DANIEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A33660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A336600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.