Abraham Daneshvar, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

52905 Issued in CA

Practice address

8851 Center Dr
Suite 505
La Mesa, CA 91942-3017

Phone

(858) 810-8000

Fax

(858) 268-1911

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Physician Assistant

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: adaneshvar80933@scrippshlth.medalliesdirect.net
• Direct secure messaging: abraham.daneshvar.1@16170.direct.athenahealth.com
• Direct secure messaging: adaneshvar10391@direct.acumenmd.com

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.

• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Bio-Medical Applications of California, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • South San Francisco, CA
  • NPI 1245839042
  NPD (past)
• First Ideal Enterprises Inc.

  • Podiatrist
  • Southfield, MI
  • NPI 1588820229
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1245359140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 EXECUTIVE SQ STE 450",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920378411",
            "telephone_number": "858-810-8000",
            "fax_number": "858-268-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR",
            "address_2": "SUITE 505",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423017",
            "telephone_number": "858-810-8000",
            "fax_number": "858-268-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANESHVAR",
        "first_name": "ABRAHAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "52905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Lynn D'Arpa, PT
• Jeannine Mardi Daleo, MFT
• Dalloul and Altamimi Dental Corp
• Derrick Nicholas Damaso
• Dan B Tarango D P M Inc
• Yasamin Daneshvar
• Kim Ann Vo Dang, MD
• Lien Lynn Dang, PHARMD
• Thanh Dang, RPH
• Sydney Dangelo, DO

• Medical Physician Assistant in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.