Dana Petrus, M.D., Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A79858 Issued in CA

Legal business name

DANA PETRUS, M.D., INC.

Practice address

18031 Hwy 18
Suite B
Apple Valley, CA 92307

Phone

(760) 242-7770

Fax

(760) 242-7760

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dana C Petrus, M.D.NPI 1851391080

Title

President

Phone

(760) 242-7770

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dana Claudia Petrus, M.D.

  • Family Medicine Physician
  • Apple Valley, CA
  • NPI 1851391080
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1164596896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18031 HWY 18",
            "address_2": "SUITE B",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070000",
            "telephone_number": "760-242-7770",
            "fax_number": "760-242-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18031 HWY 18",
            "address_2": "SUITE B",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "92307",
            "telephone_number": "760-242-7770",
            "fax_number": "760-242-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA PETRUS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "PETRUS",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-242-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A79858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherri Lynn Daiuto, OTR/L
• Rao Venkateswara Daluvoy, MD
• Blake Daly, RD
• Damask Family Counseling and Consulting Center
• Damodara Rajasekhar, MD, a Medical Corporation
• Daniel M. Villarosa, M.D., a Professional Corporation
• Jaylynn Faith Daniels
• Kira Nicole Daniels, COTA/L
• Matthew P Danneker, D.P.T
• Geraldine Dantas, RD

• Family Medicine Physician in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.