Svetlana Dani MD Inc

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

SVETLANA DANI MD INC

Doing business as

Skyline Sports Medicine

Practice address

2430 Samaritan Dr
San Jose, CA 95124-3907

Phone

(408) 559-3888

NPI assigned

Jul 13, 2020

Organization subpart

No

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

Authorized official

Name

Svetlana Dani, MDNPI 1669886206

Title

Owner

Phone

(408) 559-3889

Specialties & licenses 3

Addresses

Other names 1

• Skyline Sports Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Svetlana Dani, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Campbell, CA
  • NPI 1669886206

  Multi-Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1427676873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243907",
            "telephone_number": "408-559-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243907",
            "telephone_number": "408-559-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVETLANA DANI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-11-25",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "DANI",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-559-3889",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skyline Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristie Chang Sutton, M.D.
• Mikael Asano Suzano
• Ann K. Suzuki, LCSW
• Rurika Suzuki
• Scott Svendsen, D.C.
• Svetlana Naret DDS Inc
• Rodolfo Swain
• Sumeetha Swaminathan
• Swetha Swaminathan, MS CCC-SLP
• Elizabeth Swamy, AYURVEDIC DOCTOR

• Sports Medicine (Family Medicine) Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Sports Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.