Itano and Associates PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ITANO AND ASSOCIATES PLLC

Practice address

1081 Kathleen Ave
Kingman, AZ 86401-3918

Phone

(928) 753-5580

NPI assigned

Jan 8, 2025

Last updated

Jan 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Itano, DONPI 1194133041

Title

Owner and Provider

Phone

(714) 458-8875

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, AZ2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Itano, D.O.

  • Family Medicine Physician
  • Lake Havasu City, AZ
  • NPI 1194133041

  NV

  Medicare reassignment Care Compare group NPD Authorized official
• Christine Creen, DNP-FNP-C

  • Family Nurse Practitioner
  • Kingman, AZ
  • NPI 1790331361
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1598575003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 W HORIZON RIDGE PKWY STE PMB 35",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 KATHLEEN AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864013918",
            "telephone_number": "928-753-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITANO AND ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "ITANO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER AND PROVIDER",
        "authorized_official_telephone_number": "714-458-8875",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Illers
• Steven Illers
• Sofia G Ingeman
• Inspire Rehabilitation and Wellness LLC
• Zaffar Iqbal, M.D.
• J. Khan, LLC
• Janis E Jablenski, CPHT
• Jackson Eye Center PLLC
• Kenneth Douglas Jackson, M.D.
• Todd Lincoln Jackson, M.D.

• Family Medicine Physician in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.