Daniel Rey Pallan, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA16298 Issued in CA

Practice address

8427 Long Beach Blvd
South Gate, CA 90280-2014

Phone

(323) 585-2486

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

La Libertad Medical Clinic IncGroup PAC ID 1254368699, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• La Libertad Medical Clinic Inc

  • General Practice Physician
  • South Gate, CA
  • NPI 1295887024
  Medicare reassignment Care Compare group NPD (past)
• La Libertad Medical Clinic Inc

  • General Practice Physician
  • South Gate, CA
  • NPI 1073791828
  NPD

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457577587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8427 LONG BEACH BLVD",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802014",
            "telephone_number": "323-585-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8427 LONG BEACH BLVD",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802014",
            "telephone_number": "323-585-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLAN",
        "first_name": "DANIEL",
        "middle_name": "REY",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA16298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esmeralda Orozco, LVN
• Cynthia Ortega, NP
• Alma Lilia Ortiz, DENTAL ASSISTANT
• Mariana Pacheco, PHYSICAL THERAPY ASS
• Ivette Palafox, FNP
• Rosalind Geroge Pallivathucal, MD
• Catherine Paris, MD
• Alice Pasion, DDS
• Charu Patel, D.D.S.
• Praful N Patel, D.D.S.

• Medical Physician Assistant in South Gate, CA
• Providers in South Gate, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.