Individual provider Active NPI

Daniel Lawrence Braslau, MD

  • Diagnostic Radiology Physician
  • Monterey, CA
National Provider Identifier
1497861231
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G69037 Issued in CA
Practice address
665 Munras Ave
Suite 109
Monterey, CA 93940
Phone
(831) 656-9800
Fax
(831) 656-9801
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G69037 CA Primary

Addresses

Primary practice location

665 Munras Ave
Suite 109
Monterey, CA 93940

Mailing address

PO Box 10609
Burbank, CA 91510-0609
Phone (818) 526-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G69037CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wave Imaging LLC PastSince Nov 1, 2013 Accepting new patients
Watsonville Hospital Corporation Past Accepting new patients
Bay Area Medical Imaging Assoc LLC PastSince Jun 20, 2007 Accepting new patients
Mountain Radiology, Inc Diagnostic Radiology Past Accepting new patients
Dignity Health Past Accepting new patients
Radiology Medical Group of Santa Cruz County Inc Diagnostic Radiology Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497861231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10609",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915100609",
            "telephone_number": "818-526-0200",
            "fax_number": "818-526-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 MUNRAS AVE",
            "address_2": "SUITE 109",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "93940",
            "telephone_number": "831-656-9800",
            "fax_number": "831-656-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASLAU",
        "first_name": "DANIEL",
        "middle_name": "LAWRENCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G69037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.