Active NPI
Danhill Joseph Pangilinan Virgo
- Family Medicine Physician
- Riverside, CA
National Provider Identifier
1477178200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 57993
- Practice address
- 4371 Latham St
Riverside, CA 92501-1706 - Phone
- (833) 867-4642
- NPI assigned
- Jun 8, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 57993 | CA | Primary |
Addresses
Primary practice location
4371 Latham St
Riverside, CA 92501-1706
Mailing address
338 S Dakota Ave
Vandenberg Afb, CA 93437-6307
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201027003249 | CA | Order and Referring Only - Physician Assistant | 4284044512 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57993 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1477178200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 S DAKOTA AVE",
"city": "VANDENBERG AFB",
"state": "CA",
"postal_code": "934376307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4371 LATHAM ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925011706",
"telephone_number": "833-867-4642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIRGO",
"first_name": "DANHILL",
"middle_name": "JOSEPH PANGILINAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-08",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "57993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
- Alejandra Viramontes Merino
- Audrey Lynn Viramontes
- Ann Marie Sales Viray, PHYSICAL THERAPIST
- Emmanuel Villarama Viray, FNP
- Virginia Garrett Inc
- Rebecca Visca, NP-C
- Yvette Visciglio
- Vishaldhuliya Dental Corporation
- Vision for Life Optometry, Inc. (Woodcrest Vision Center Optometry)
- Vision Home Health Care Inc (Inland Hospice Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.