NPIMap

Individual provider Active NPI

Daniel Nagasawa, MD

  • Neurological Surgery Physician
  • Santa Monica, CA
National Provider Identifier
1578820536
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A129098 Issued in CA
Practice address
2811 Wilshire Blvd Ste 930
Santa Monica, CA 90403-4809
Phone
(310) 710-1919
NPI assigned
Apr 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurological Surgery Physician 207T00000X A129098 CA Primary

Addresses

Primary practice location

2811 Wilshire Blvd Ste 930
Santa Monica, CA 90403-4809

Mailing address

518.5 Bolsa Ave
Newport Beach, CA 92663

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190823000401 CA Practitioner - Neurosurgery 6608129945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of California, Irvine, California College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Achieve Brain and Spine IncGroup PAC ID 0244570141, 6 clinicians

Practice addresses (Care Compare)

2811 Wilshire Blvd
Suite 930
Santa Monica, CA 90403-4809
Phone (310) 710-1919

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion138
Laminectomy or laminotomy (partial removal of spine bones)47
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A129098CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group Current Accepting new patients
Achieve Brain and Spine, Inc Neurological Surgery CurrentSince Jun 1, 2019 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jul 12, 2019 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jul 12, 2019 Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
Ersno Eromo, MD Inc Past Accepting new patients
Providence Saint John's Health Center Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

2811 Wilshire Blvd
Ste 930
Santa Monica, CA 90403
Phone (310) 710-1919

888 S Hill Rd
Ventura, CA 93003
Phone (805) 477-6400

5601 De Soto Ave
Woodland Hls, CA 91367
Phone (818) 719-2000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: daniel.nagasawa.1@26092.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19074/brand/1/csg/1/fhir/r4
  • Direct secure messaging: dnagasawa43212@direct.uclahealth.org
  • Direct secure messaging: daniel.nagasawa.1@19074.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1578820536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518.5 BOLSA AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD STE 930",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034809",
            "telephone_number": "310-710-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGASAWA",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-16",
        "last_updated": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A129098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "5601 De Soto Ave",
            "city": "Woodland Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913676701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.