Active NPI
Dan la MD Inc
- Rheumatology Physician
- Tujunga, CA
National Provider Identifier
1447273263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- A84795
- Legal business name
- DAN LA MD INC
- Practice address
- 6673 Foothill Blvd
Tujunga, CA 91042-2706 - Phone
- (818) 265-2250
- Fax
- (818) 265-2268
- NPI assigned
- Jul 25, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Dan La, M.D.
- Title
- Owner/M.D.
- Phone
- (818) 265-2250
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1061268 | Dan T la MD Inc | Certificate of waiver | Nov 13, 2026 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061215000545 | CA | Part B Supplier - Clinic/Group Practice | 2769481928 |
Receives reassigned benefits from 2 practitioners Practice locations: Tujunga, CA |
National Provider Directory
National Provider DirectoryLocations
6673 Foothill Blvd
Tujunga, CA 91042
Phone (818) 265-2250
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | A84795 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
6673 Foothill Blvd
Tujunga, CA 91042-2706
Mailing address
6673 Foothill Blvd
Tujunga, CA 91042-2706
Phone (818) 265-2250
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| A84795 | Other | CA | CA MEDICAL LICENSE NUMBER |
| 00A847950 | Medicaid | CA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 14, 2025.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755129600000",
"number": "1447273263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6673 FOOTHILL BLVD",
"city": "TUJUNGA",
"state": "CA",
"postal_code": "910422706",
"telephone_number": "818-265-2250",
"fax_number": "818-265-2268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6673 FOOTHILL BLVD",
"city": "TUJUNGA",
"state": "CA",
"postal_code": "910422706",
"telephone_number": "818-265-2250",
"fax_number": "818-265-2268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAN LA MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A",
"authorized_official_last_name": "LA",
"authorized_official_first_name": "DAN",
"authorized_official_title_or_position": "OWNER/M.D.",
"authorized_official_telephone_number": "818-265-2250",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "CA",
"license": "A84795",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA MEDICAL LICENSE NUMBER",
"identifier": "A84795",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A847950",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tujunga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.