Dan E Dardashti, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A61457 Issued in CA

Practice address

12626 Riverside Dr
Ste 506
Valley Village, CA 91607-3420

Phone

(818) 508-9190

Fax

(818) 508-1648

NPI assigned

Jun 1, 2005

Last updated

Jul 2, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Internal Medicine

Education

Medical College of Wisconsin, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Montrose Home Healthcare, Inc Home health agency, Glendale, CA, CCN 058303
• Asherah Home & Palliative Care, Inc Home health agency, Burbank, CA, CCN 059283
• Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Dan Dardashti, MD Inc.

  • Internal Medicine Physician
  • Valley Village, CA
  • NPI 1114953643
  Medicare reassignment NPD Authorized official
• Lakeside Medical Associates, a Medical Group, Inc.

  dba Lakeside Community Healthcare Medical Group

  • Hospitalist Physician
  • Glendale, CA
  • NPI 1932129434

  Internal Medicine

  NPD (past)
• Lakeside Medical Organization, a Medical Group Inc.

  • Internal Medicine Physician
  • West Hills, CA
  • NPI 1831426642
  NPD (past)

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

• Asherah Home & Palliative Care, Inc.

  • Home Health Agency
  • Burbank, CA
  • NPI 1598935009
  Care Compare affiliation
• Montrose Home Healthcare Inc

  • Home Health Agency
  • Glendale, CA
  • NPI 1255407334
  Care Compare affiliation
• Providence Health System - Southern California

  dba Providence Saint Joseph Medical Center

  • General Acute Care Hospital
  • Burbank, CA
  • NPI 1336173269
  Care Compare affiliation

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1275537524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12626 RIVERSIDE DR",
            "address_2": "STE 506",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073420",
            "telephone_number": "818-508-9190",
            "fax_number": "818-508-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12626 RIVERSIDE DR",
            "address_2": "STE 506",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073420",
            "telephone_number": "818-508-9190",
            "fax_number": "818-508-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARDASHTI",
        "first_name": "DAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A61457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A614570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crest Health Services, Inc.
• Crichton's Love
• Crown Hospice, Inc.
• Dan Dardashti, MD Inc.
• Matthew Daniel, DPM
• Dawn Marie Davolt, LCSW
• Jila Dayani, MD
• Joann De Virgilio
• Logan Olivia Decoursey
• Mark W Deering, D.D.S.

• Internal Medicine Physician in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.