Daniel Itano, D.O.
Individual provider Active NPI Family Medicine Physician · Lake Havasu City, AZ
NPI 1194133041 · NPPES record last updated Jan 28, 2025
Key facts
- NPI
- 1194133041
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- DO2126 (NV)
- Practice address
- 101 Civic Center LN
Lake Havasu City, AZ 86403-5607 - Phone
- (928) 855-8185
- NPI assigned
- Jul 23, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 9
Owned or controlled facilities with NPI records 3
Medicare Care Compare profile
- 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 Inc
Itano and Associates PLLC
Practice addresses (Care Compare)
101 Civic Ctr LN
Lake Havasu City, AZ 86403-5607
Phone (928) 855-8185
4560 S Decatur Blvd
Suite 301
Las Vegas, NV 89103-5253
Phone (928) 753-5580
Hospital & facility affiliations
- Advanced Home Care
- Ahc Hospice of Las Vegas
- Dedicated Hospice Care, Inc
- Sun City Hospice Inc
- Dynamic Hospice Care
- Traditions Health
- Valley View Medical Center
- Kingman Regional Medical Center
- Havasu Regional Medical Center
- Desert Highlands Care Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 49.08 of 100
- Quality
- 28.33
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NV, AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Desert Highlands Care Center |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Apr 1, 2025 Apr 1, 2025 |
| Ahc Home Health of Las Vegas LLC |
Home health agency | Contracted Managing Employee | Mar 5, 2025 |
| Ahc Home Health of Las Vegas LLC |
Hospice | Contracted Managing Employee | Mar 5, 2025 |
| Sun City Hospice Inc |
Hospice | W-2 Managing Employee | May 1, 2026 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161221001765 | NV | Practitioner - Family Practice | 6002131067 | Reassigns benefits to 5 organizations |
| I20210324002719 | AZ | Practitioner - Family Practice | 6002131067 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008447 | AZ | MD | Family Medicine Physician |
| 20A13692 | CA | MD | Family Medicine Physician |
| DO2126 | NV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NV Pacs 2 LLC | Current |
Accepting new patients | |
| Apogee Medical Group Inc | Internal Medicine | Current |
Accepting new patients |
| American Physicians, Inc. | Current |
Accepting new patients | |
| Nevada Acute Medical Services-Scherr 1 PC | Current |
Accepting new patients | |
| Nevada Post-Acute Medical Services-Scherr 1 PC | Current |
Accepting new patients | |
| Itano and Associates PLLC | Family Medicine | Current |
Accepting new patients |
| Arizona Post-Acute Medical Services 1 PC | Current |
Accepting new patients | |
| Apogee Medical Group Inc | Internal Medicine | Current |
Accepting new patients |
| Cogent Healthcare of Arizona PC | Internal Medicine | Current |
Accepting new patients |
| Kingman No 1 LLC | Current | Accepting new patients | |
| NM Pacs 2 LLC | Current |
Accepting new patients | |
| American Physicians, Inc | Family Medicine | Current |
Accepting new patients |
| Pam Squared at Las Vegas, LLC | Past | Accepting new patients | |
| Havasu Regional Medical Center LLC | Past | Accepting new patients | |
| PHC-Fort Mohave Inc | Past | Accepting new patients | |
| Covenant Care Vegas, Inc. | Past | Accepting new patients | |
| Las Vegas NV Opco LLC | Past | Accepting new patients | |
| Covenant Care Vegas, Inc. | Past | Accepting new patients | |
| Marquis Companies II, Inc | Past | Accepting new patients |
Locations
5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273
1081 Kathleen Ave
Kingman, AZ 86401
Phone (928) 718-0777
101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150
255 W Brown Rd
Mesa, AZ 85201
Phone (480) 833-3988
5755 E Main St
Mesa, AZ 85205
Phone (480) 214-2400
1119 E Rancho Vistoso Blvd
Oro Valley, AZ 85755
Phone (520) 825-4669
807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222
3380 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 775-0045
2401 E Hunt Dr
Show Low, AZ 85901
Phone (928) 537-5333
5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000
350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000
5870 N Hiatus Rd
Tamarac, FL 33321
Phone (957) 377-2954
1550 W Horizon Ridge Pkwy
Henderson, NV 89012
10301 Jeffreys St
Henderson, NV 89052
Phone (702) 269-0781
1550 W Horizon Ridge Pkwy
Ste R
Henderson, NV 89012
Phone (240) 780-8793
1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 723-4124
1180 E Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 565-8555
1250 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 259-3570
4560 S Decatur Blvd
Ste 301
Las Vegas, NV 89103
Phone (702) 220-7109
10550 Park Run Dr
Las Vegas, NV 89144
Phone (702) 515-6200
2860 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 233-0684
Interoperability endpoints
- daniel.itano@mmdeserthighlandcc.contexture.medalliesmail.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 008447 | AZ | |
| Family Medicine Physician | 207Q00000X | DO2126 | NV | Yes |
| Family Medicine Physician | 207Q00000X | 20A13692 | CA |
Addresses
Primary practice location
101 Civic Center LN
Lake Havasu City, AZ 86403-5607
Mailing address
5870 Hiatus Rd
Tamarac, FL 33321-6424
Phone (888) 447-2362
Other practice location 1
10301 Jeffreys St
Henderson, NV 89052-3922
Phone (888) 447-2362
Other providers in Lake Havasu City, AZ
- Institute for Male Health&Performance LLC
- Integrated Wellness Club
- Integrative Oncology Strategies,LLC
- Intraoperative Neurological Monitoring Diagnostics, LLC
- Valerie Pratt Israel
- Kartik Iyer
- Kevin Anthony Jackson
- Jaidyn Med Care LTD
- James a Stansbury MD PC
- James a Tammaro MD PC
All providers in Lake Havasu City, AZ · Family Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.