Active NPI
Daniel Mahoney
- Rehabilitation Practitioner
- Commerce, CA
National Provider Identifier
1578715074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 6055 E Washington Blvd
900
Commerce, CA 90040-2449 - Phone
- (323) 346-0960
- Fax
- (323) 346-0966
- NPI assigned
- Oct 15, 2008
- Last updated
- Oct 15, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | NU | Primary |
Addresses
Primary practice location
6055 E Washington Blvd
900
Commerce, CA 90040-2449
Mailing address
7006 Natrick Ave.
Van Nuys, CA 91405
Phone (818) 480-8279
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224028800000",
"number": "1578715074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7006 NATRICK AVE.",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "91405",
"telephone_number": "818-480-8279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6055 E WASHINGTON BLVD",
"address_2": "900",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900402449",
"telephone_number": "323-346-0960",
"fax_number": "323-346-0966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHONEY",
"first_name": "DANIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-15",
"last_updated": "2008-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Commerce, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.