Individual provider Active NPI

Danica Carmel Holt, M.D.

  • Diagnostic Radiology Physician
  • West Covina, CA
National Provider Identifier
1588691745
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A62944 Issued in CA
Practice address
1509 W Cameron Ave
Suite D
West Covina, CA 91790-2725
Phone
(626) 698-7266
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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 A62944 CA Primary

Addresses

Primary practice location

1509 W Cameron Ave
Suite D
West Covina, CA 91790-2725

Mailing address

223 N 1St Ave Ste 201
Arcadia, CA 91006-7027
Phone (626) 698-7200

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120628000183 CA Practitioner - Diagnostic Radiology 9335189885 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Washington University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiant Imaging IncGroup PAC ID 7113145558, 65 clinicians

Practice addresses (Care Compare)

625 S Fair Oaks Ave
Suite 180
Pasadena, CA 91105-2643
Phone (626) 229-8969

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
86
Improvement activities
40
Cost
77.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62944CAMDDentist
A62944CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Hill Medical Corporation Diagnostic Radiology Current Accepting new patients
The Hill Medical Corporation Diagnostic Radiology CurrentSince Dec 1, 2018 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Oct 1, 2024 Accepting new patients
Radiant Imaging, Inc. Diagnostic Radiology CurrentSince Sep 17, 2021 Accepting new patients
Californnia Imaging Associates II,Inc. Diagnostic Radiology Past Accepting new patients
Pueblo Radiology Medical Group Inc Diagnostic Radiology Past Accepting new patients

Locations

223 N 1st Ave
Ste 201
Arcadia, CA 91006
Phone (626) 821-1411

289 W Huntington Dr
Ste 104
Arcadia, CA 91007
Phone (626) 821-0707

301 W Huntington Dr
Ste 617
Arcadia, CA 91007
Phone (626) 247-2250

130 W Route 66
Ste 110
Glendora, CA 91740
Phone (818) 914-3384

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

625 S Fair Oaks Ave
Ste 180
Pasadena, CA 91105
Phone (626) 229-8969

2627 E Washington Blvd
Pasadena, CA 91107
Phone (626) 463-0135

625 S Fair Oaks Ave
Ste 325
Pasadena, CA 91105
Phone (626) 229-8969

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

751 Cordova St
Pasadena, CA 91101
Phone (626) 229-8969

1509 W Cameron Ave
Ste D100
West Covina, CA 91790
Phone (626) 698-7266

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1588691745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N 1ST AVE STE 201",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067027",
            "telephone_number": "626-698-7200",
            "fax_number": "626-821-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 W CAMERON AVE",
            "address_2": "SUITE D",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902725",
            "telephone_number": "626-698-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "DANICA",
        "middle_name": "CARMEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A62944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.