Individual provider Active NPI

Guy Daniel Danon, DPM

  • Podiatrist
  • Los Angeles, CA
National Provider Identifier
1215978176
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3542 Issued in CA
Practice address
751 Westholme Ave
Los Angeles, CA 90024-3315
Phone
(562) 208-9407
Fax
(310) 341-3142
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3542 CA Primary

Addresses

Primary practice location

751 Westholme Ave
Los Angeles, CA 90024-3315

Mailing address

4217 Luther St
Riverside, CA 92506-2853
Phone (951) 788-2001

Other identifiers 1

IdentifierTypeStateIssuer
00035420MedicaidCA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3542CAMDPodiatrist
3542CAMDCertified Registered Nurse Anesthetist

Interoperability endpoints

  • Direct secure messaging: guy.danondpm.p1@direct.vistacommunityclinic.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1215978176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 LUTHER ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062853",
            "telephone_number": "951-788-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 WESTHOLME AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243315",
            "telephone_number": "562-208-9407",
            "fax_number": "310-341-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANON",
        "first_name": "GUY",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00035420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.