Active NPI
Jennifer Nika Danesh, MD
- Ophthalmology Physician
- Los Angeles, CA
National Provider Identifier
1568826378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A151532
- Practice address
- 1200 N State St
Los Angeles, CA 90033-1029 - Phone
- (323) 409-5233
- NPI assigned
- Apr 7, 2016
- Last updated
- Nov 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Ophthalmology Physician | 207W00000X | A151532 | CA | Primary |
Addresses
Primary practice location
1200 N State St
Los Angeles, CA 90033-1029
Mailing address
520 N Prospect Ave Ste 206
Redondo Beach, CA 90277-3042
Phone (310) 376-8850
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A151532 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aarchan Joshi, M.D. Inc | Single Specialty | Current | Accepting new patients |
Locations
520 N Prospect Ave
Ste 206
Redondo Beach, CA 90277
Phone (310) 376-8850
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1568826378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 N PROSPECT AVE STE 206",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902773042",
"telephone_number": "310-376-8850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N STATE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331029",
"telephone_number": "323-409-5233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANESH",
"first_name": "JENNIFER",
"middle_name": "NIKA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-07",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CA",
"license": "A151532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Paige Toomey Dandrea
- Danelle Fisher MD Inc (Westchester Pediatric Medical Group)
- Danesh Dental Corp. (Elite Dental and Orthodontics)
- Deeba Danesh
- Gina Danesh, D.O.
- Kayla Ahavah Danesh, MD
- Daneshgar Oral & Maxillofacial Surgery, Inc.
- Kourosh K Daneshgar, M.D.
- Shariar Shaun Daneshgar
- Siamak Daneshmand, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.