Danica-Ella M Pantoja, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95016725 Issued in CA

Practice address

10251 Vista Sorrento Pkwy Ste 280
San Diego, CA 92121-3776

Phone

(888) 380-0988

Fax

(289) 236-3022

NPI assigned

Sep 26, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA, CA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJFCBA

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.

• South Bay Geriatric and Internal Medicine Inc

  • Legal Medicine
  • Chula Vista, CA
  • NPI 1801192497
  Medicare reassignment NPD
• Atlantic Healthcare Services LLC

  • Nurse Practitioner
  • Roanoke, VA
  • NPI 1912491739
  Medicare reassignment

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1457860074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 BUSKIRK AVE STE 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945976900",
            "telephone_number": "888-380-0988",
            "fax_number": "289-236-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10251 VISTA SORRENTO PKWY STE 280",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213776",
            "telephone_number": "888-380-0988",
            "fax_number": "289-236-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTOJA",
        "first_name": "DANICA-ELLA",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001219626",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "AC002184",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1017188",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "00024175615",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2017011092",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard E. Pantarotto, MD
• Junemy Pantig
• Anna Karenn Pantoja Mendez, LCSW
• Alfredo A Pantoja
• Aylin Olmos Pantoja
• Maritza Z. Pantoja
• Diane G Panton, M.D.
• Marissa Panyawai, FNP-BC
• Kaitlyn Elizabeth Panza, PHD
• Bruno Pompeu Panzarini, MD

• Family Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.