Active NPI
Christopher Danielsen, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95036503
- Practice address
- 6500 Wilshire Blvd FL 19
Los Angeles, CA 90048-4920 - Phone
- (800) 270-9256
- Fax
- (855) 888-7818
- NPI assigned
- Aug 12, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95036503 | CA | Primary |
Addresses
Primary practice location
6500 Wilshire Blvd FL 19
Los Angeles, CA 90048-4920
Mailing address
4455 Spectrum
Irvine, CA 92618-3384
Phone (951) 992-7117
Other practice location 1
4455 Spectrum
Irvine, CA 92618-3384
Phone (951) 992-7117
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- National Medical University, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3625 E Thousand Oaks Blvd
Suite 232
Westlake Village, CA 91362-6932
Phone (818) 518-9715
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95036503 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Heritage Medical Group Inc | Current | Accepting new patients | |
| Cri Baby Inc | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333
3625 E Thousand Oaks Blvd
Ste 232
Westlake Village, CA 91362
Phone (818) 518-9715
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.
-
- Geriatric Psychiatry Physician
- Westlake Village, CA
- NPI 1467899450
-
- Psychiatric/Mental Health Nurse Practitioner
- Irvine, CA
- NPI 1407729270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772409600000",
"number": "1346126836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4455 SPECTRUM",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183384",
"telephone_number": "951-992-7117",
"fax_number": "855-888-7818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 WILSHIRE BLVD FL 19",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900484920",
"telephone_number": "800-270-9256",
"fax_number": "855-888-7818"
}
],
"practiceLocations": [
{
"address_1": "4455 Spectrum",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926183384",
"country_code": "US",
"telephone_number": "951-992-7117",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANIELSEN",
"first_name": "CHRISTOPHER",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-12",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95036503",
"primary": true
}
],
"identifiers": [],
"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 Mar 2, 2026; 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.