Active NPI
Daphne Thomassini, PA-C
- Physician Assistant
- Sherman Oaks, CA
National Provider Identifier
1417357666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PAT9108096
- Practice address
- 13303 Riverside Dr
Sherman Oaks, CA 91423-2508 - Phone
- (818) 722-3230
- NPI assigned
- Aug 25, 2014
- Last updated
- Feb 25, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PAT9108096 | FL | Primary |
Addresses
Primary practice location
13303 Riverside Dr
Sherman Oaks, CA 91423-2508
Mailing address
1300 S Figueroa St
Los Angeles, CA 90015-2801
Phone (954) 830-2635
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54436 | CA | MD | General Practice Dentistry |
| PAT9108096 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551052800000",
"number": "1417357666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 S FIGUEROA ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900152801",
"telephone_number": "954-830-2635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13303 RIVERSIDE DR",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914232508",
"telephone_number": "818-722-3230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMASSINI",
"first_name": "DAPHNE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-25",
"last_updated": "2019-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PAT9108096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.