Dagnachew Fantaye

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

202252411943 Issued in CA

Practice address

312 Calderwood LN
Bakersfield, CA 93307-7324

Phone

(310) 910-2336

NPI assigned

Feb 27, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• DSN Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Bakersfield, CA
  • NPI 1548949878
  NPD Authorized official

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1396444675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 CALDERWOOD LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933077324",
            "telephone_number": "310-910-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 CALDERWOOD LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933077324",
            "telephone_number": "310-910-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANTAYE",
        "first_name": "DAGNACHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "CA",
            "license": "202252411943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedy Fan
• Prolan Robles Fandialan
• David M Fang, M.D.
• Michelle Connie Fang, PHARMD
• Billy Wayne Fanning
• Shannon Kaye Fanucchi, LMFT
• Gary M Farber, M.D.
• Karlyn Farber, MA, BCBA
• Amna Jehan Ara Ahmed Fareedy, M.D
• Maxine Michelle Farler

• Private Vehicle in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Private Vehicle in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.