Individual provider Active NPI

Daniela Andrea Bello Germino, M.D

  • Pediatrics Physician
  • Victorville, CA
National Provider Identifier
1518319086
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A175157 Issued in CA
Practice address
11883 Amethyst Rd Ste 203
Victorville, CA 92392-9224
Phone
(760) 381-8075
Fax
(760) 381-8043
NPI assigned
Jul 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A175157 CA Primary

Addresses

Primary practice location

11883 Amethyst Rd Ste 203
Victorville, CA 92392-9224

Mailing address

11883 Amethyst Rd Ste 203
Victorville, CA 92392-9224
Phone (760) 241-8000

Other names 1

  • Daniela Andrea del Valle Bello Germino Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191001002408 TN Practitioner - Pediatric Medicine 7719272574 Reassigns benefits to 1 organization
I20220503002231 CA Practitioner - Pediatric Medicine 7719272574 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A175157CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Valley Medical Group, Inc. Current Accepting new patients
Desert Valley Medical Group, Inc CurrentSince Apr 1, 2022 Accepting new patients
Desert Valley Medical Group, Inc. Pediatrics CurrentSince Apr 1, 2022 Accepting new patients
Amg-Crockett, LLC Pediatrics CurrentSince Sep 1, 2019 Accepting new patients
Amg-Crockett, LLC CurrentSince Sep 1, 2019 Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients

Locations

16850 Bear Valley Rd
Ste 103
Victorville, CA 92395
Phone (760) 493-1889

11883 Amethyst Rd
Ste 203
Victorville, CA 92392
Phone (760) 381-8075

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

1275 E College St
Ste 2
Pulaski, TN 38478
Phone (931) 363-3514

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: cpu6261@yourcarecommunity.org
  • Direct secure messaging: daniella.bello.p1@direct.dvmg.nextgenshare.com

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": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1518319086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11883 AMETHYST RD STE 203",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923929224",
            "telephone_number": "760-241-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11883 AMETHYST RD STE 203",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923929224",
            "telephone_number": "760-381-8075",
            "fax_number": "760-381-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLO GERMINO",
        "first_name": "DANIELA",
        "middle_name": "ANDREA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A175157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELA",
            "last_name": "BELLO GERMINO",
            "middle_name": "ANDREA DEL VALLE",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.