Daniel Itano, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO2126 Issued in NV

Practice address

101 Civic Center LN
Lake Havasu City, AZ 86403-5607

Phone

(928) 855-8185

NPI assigned

Jul 23, 2014

Last updated

Jan 28, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, AZ2 enrollments

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 2

Specialty

Family Practice

Education

Touro Un Col of Osteopathic Medicine, Henderson, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Apogee Medical Group IncGroup PAC ID 2961314265, 85 clinicians

Itano and Associates PLLCGroup PAC ID 6608392527, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advanced Home Care Home health agency, Henderson, NV, CCN 297198
• Ahc Hospice of Las Vegas Hospice, Henderson, NV, CCN 291563
• Dedicated Hospice Care, Inc Hospice, Las Vegas, NV, CCN 291556
• Sun City Hospice Inc Hospice, Las Vegas, NV, CCN 291663
• Dynamic Hospice Care Hospice, Las Vegas NV, NV, CCN 291619
• Traditions Health Hospice, Las Vegas, NV, CCN 291527
• Valley View Medical Center Hospital, Fort Mohave, AZ, CCN 030117
• Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055
• Havasu Regional Medical Center Hospital, Lake Havasu City, AZ, CCN 030069
• Desert Highlands Care Center Nursing home, Kingman, AZ, CCN 035169

Merit-based Incentive Payment System (MIPS)

Final score

49.08 of 100Reported as individual

Quality

28.33

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.itano@mmdeserthighlandcc.contexture.medalliesmail.com

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Kingman No 1 LLC

  dba Desert Highlands Care Center

  • Skilled Nursing Facility
  • Kingman, AZ
  • NPI 1184656175

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Ahc Home Health of Las Vegas LLC

  dba AHC Home Health & Hospice of Las Vegas

  • Home Health Agency
  • Henderson, NV
  • NPI 1154620136

  Contracted Managing Employee

  CMS ownership
• Sun City Hospice Inc

  • Community Based Hospice Care Agency
  • Las Vegas, NV
  • NPI 1104517036

  W-2 Managing Employee

  CMS ownership

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.

• Itano and Associates PLLC

  • Family Medicine Physician
  • Kingman, AZ
  • NPI 1598575003

  NV

  Medicare reassignment Care Compare group NPD Authorized official
• Apogee Medical Group Inc

  • Internal Medicine Physician
  • Lake Havasu City, AZ
  • NPI 1760652218
  Medicare reassignment Care Compare group NPD
• Arizona Post-Acute Medical Services 1 PC

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1093254419
  Medicare reassignment NPD
• Cogent Healthcare of Arizona PC

  • Internal Medicine Physician
  • Sierra Vista, AZ
  • NPI 1568758266
  Medicare reassignment NPD
• Nevada Acute Medical Services-Scherr 1 PC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1992244438
  Medicare reassignment NPD
• Nevada Post-Acute Medical Services-Scherr 1 PC

  • Hospitalist Physician
  • North Las Vegas, NV
  • NPI 1033658331
  Medicare reassignment NPD
• NM Pacs 2 LLC

  • Hospitalist Physician
  • Albuquerque, NM
  • NPI 1366928749

  AZ

  Medicare reassignment NPD
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809
  Medicare reassignment NPD
• Platinum Hospitalists LLP

  • Hospitalist Physician
  • Henderson, NV
  • NPI 1861627242
  Medicare reassignment
• American Physicians, Inc.

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1609869908
  NPD
• Apogee Medical Group Inc

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1205883725
  NPD
• Kingman No 1 LLC

  dba Desert Highlands Care Center

  • Skilled Nursing Facility
  • Kingman, AZ
  • NPI 1184656175
  NPD

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

• Dedicated Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Las Vegas, NV
  • NPI 1720437486
  Care Compare affiliation Name & address match
• Serenity Hospice, LLC

  dba Traditions Health

  • Community Based Hospice Care Agency
  • Las Vegas, NV
  • NPI 1710382130
  Care Compare affiliation Name & address match
• Havasu Regional Medical Center LLC

  dba Havasu Regional Medical Center

  • Rural Acute Care Hospital
  • Lake Havasu City, AZ
  • NPI 1780761866
  Care Compare affiliation
• Kingman Healthcare, Inc

  dba Kingman Regional Medical Center

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917
  Care Compare affiliation
• Kingman No 1 LLC

  dba Desert Highlands Care Center

  • Skilled Nursing Facility
  • Kingman, AZ
  • NPI 1184656175

  Nursing home

  Care Compare affiliation
• PHC-Fort Mohave Inc

  dba Valley View Medical Center

  • General Acute Care Hospital
  • Fort Mohave, AZ
  • NPI 1811086994
  Care Compare affiliation
• Ahc Home Health of Las Vegas LLC

  dba AHC Home Health & Hospice of Las Vegas

  • Home Health Agency
  • Henderson, NV
  • NPI 1154620136

  Hospice

  Care Compare affiliation
• B and a Hospice Inc

  dba Dynamic Hospice Care

  • Community Based Hospice Care Agency
  • Las Vegas, NV
  • NPI 1437725413
  Care Compare affiliation
• Sun City Hospice Inc

  • Community Based Hospice Care Agency
  • Las Vegas, NV
  • NPI 1104517036
  Care Compare affiliation

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1194133041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5870 HIATUS RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333216424",
            "telephone_number": "888-447-2362",
            "fax_number": "865-560-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CIVIC CENTER LN",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035607",
            "telephone_number": "928-855-8185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10301 Jeffreys St",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890523922",
            "country_code": "US",
            "telephone_number": "888-447-2362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ITANO",
        "first_name": "DANIEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-23",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "008447",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO2126",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A13692",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.