Active NPI
Daniel Amde, M.D,
- Internal Medicine Physician
- Van Nuys, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A121962
- Practice address
- 15107 Vanowen St
Van Nuys, CA 91405-4542 - Phone
- (818) 325-0200
- Fax
- (818) 325-0210
- NPI assigned
- Jan 20, 2012
- Last updated
- May 12, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A121962 | CA | Primary |
Addresses
Primary practice location
15107 Vanowen St
Van Nuys, CA 91405-4542
Mailing address
4955 Van Nuys Blvd
Suite 502
Sherman Oaks, CA 91403-1801
Phone (818) 325-0200
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Howard University College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4955 Van Nuys Blvd
Suite 502
Sherman Oaks, CA 91403-1801
Phone (818) 325-0200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Fernando Valley Medical Group Inc | Internal Medicine | Current | Accepting new patients |
Locations
4955 Van Nuys Blvd
Ste 502
Sherman Oaks, CA 91403
Phone (818) 325-0200
15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600
Organizations & group practices 1
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.
-
- Hospitalist Physician
- Sherman Oaks, CA
- NPI 1902188022
Internal Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Van Nuys, CA
- NPI 1417340456
-
- General Acute Care Hospital
- Van Nuys, CA
- NPI 1578529285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399852800000",
"number": "1316218456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4955 VAN NUYS BLVD",
"address_2": "SUITE 502",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914031801",
"telephone_number": "818-325-0200",
"fax_number": "818-325-0210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15107 VANOWEN ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914054542",
"telephone_number": "818-325-0200",
"fax_number": "818-325-0210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMDE",
"first_name": "DANIEL",
"credential": "M.D,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-20",
"last_updated": "2014-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A121962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
- Amazing Hospice Inc.
- Cassandra Ambe
- Edna Ambriz, CATC I
- Dulce Ambrocio
- Ambulife Ambulance, Inc.
- Ameliorate Home Health Inc
- Ameria Hospice Care, Inc.
- American Current Care of California, a Medical Corporation (Concentra Urgent Care)
- American Diagnostic, Inc
- American Health Services LLC (Van Nuys Medical and Mental Health Serivces)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.