Individual provider Active NPI

Christopher Dan, DO

  • Family Medicine Physician
  • Woodland Hills, CA
National Provider Identifier
1285051334
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A14279 Issued in CA
Practice address
20301 Ventura Blvd Ste 210
Woodland Hills, CA 91364-0934
Phone
(818) 346-4300
NPI assigned
Mar 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 20A14279 CA
Family Medicine Physician 207Q00000X 20A14279 CA Primary

Addresses

Primary practice location

20301 Ventura Blvd Ste 210
Woodland Hills, CA 91364-0934

Mailing address

20301 Ventura Blvd Ste 210
Woodland Hills, CA 91364-0934
Phone (818) 346-4300

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
14279CAMDOptometrist
20A14279CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ease of Mind Hospice Care, Inc. Family Medicine PastSince Mar 1, 2023 Accepting new patients
Centinela Hospice Care, Inc. Family Medicine PastSince Mar 1, 2023 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1285051334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20301 VENTURA BLVD STE 210",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913640934",
            "telephone_number": "818-346-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20301 VENTURA BLVD STE 210",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913640934",
            "telephone_number": "818-346-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAN",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "20A14279",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A14279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.