Individual provider Active NPI

Daniel S. Bandari, M.D.

  • Neurology Physician
  • Newport Beach, CA
National Provider Identifier
1467482216
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A84350 Issued in CA
Practice address
3900 W Coast Hwy
Suite 330
Newport Beach, CA 92663-4091
Phone
(949) 706-5580
Fax
(949) 706-5585
NPI assigned
Jul 4, 2006
Last updated
Nov 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A84350 CA Primary

Addresses

Primary practice location

3900 W Coast Hwy
Suite 330
Newport Beach, CA 92663-4091

Mailing address

3900 W Coast Hwy
Suite 330
Newport Beach, CA 92663-4091
Phone (949) 706-5580

Other identifiers 1

IdentifierTypeStateIssuer
00A843500MedicaidCA

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050308001110 CA Practitioner - Neurology 3375597719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24012 Calle de la Plata
Suite 210
Laguna Hills, CA 92653-7623
Phone (949) 706-5580

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel S. Bandari, M.D. Inc Neurology CurrentSince Nov 15, 2008 Accepting new patients
Usc Neurologists, Inc. Past Accepting new patients

Locations

24012 Calle de la Plata
Ste 210
Laguna Hills, CA 92653
Phone (800) 282-1212

3900 W Coast Hwy
Ste 330
Newport Beach, CA 92663
Phone (949) 706-5580

2100 Lynn Rd
Ste 230
Thousand Oaks, CA 91360
Phone (805) 494-4567

2190 Lynn Rd
Ste 220
Thousand Oaks, CA 91360
Phone (805) 495-8050

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1467482216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 W COAST HWY",
            "address_2": "SUITE 330",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634091",
            "telephone_number": "949-706-5580",
            "fax_number": "949-706-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W COAST HWY",
            "address_2": "SUITE 330",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634091",
            "telephone_number": "949-706-5580",
            "fax_number": "949-706-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDARI",
        "first_name": "DANIEL",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A84350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A843500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.