Individual provider Active NPI

Hootan M Daneshmand, MD

  • Plastic Surgery Physician
  • Foothill Ranch, CA
National Provider Identifier
1619987617
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G73325 Issued in CA
Practice address
27462 Portola Parkway
Suite 100
Foothill Ranch, CA 92610
Phone
(949) 727-9099
Fax
(949) 727-2030
NPI assigned
Aug 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X G73325 CA Primary

Addresses

Primary practice location

27462 Portola Parkway
Suite 100
Foothill Ranch, CA 92610

Mailing address

27462 Portola Parkway
Suite 100
Foothill Ranch, CA 92610
Phone (949) 727-9099

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
I20060125001007 CA Practitioner - Plastic and Reconstructive Surgery 2860406188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Southern California Keck School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27462 Portola Pkwy
Suite 100
Foothill Ranch, CA 92610-2838
Phone (661) 326-7500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hootan Daneshmand M D Incorporated Plastic Surgery CurrentSince Jul 14, 2012 Accepting new patients
Centennial Medical Group Inc. CurrentSince May 6, 2019 Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Foothill Ranch Surgery & Medical Center, Inc. PastSince Feb 1, 2005 Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
South Coast Global Medical Center, Inc Past Accepting new patients

Locations

1801 16th St
Ste A
Bakersfield, CA 93301
Phone (661) 326-7500

27462 Portola Pkwy
Ste 100
Lake Forest, CA 92610
Phone (949) 280-6497

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619987617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27462 PORTOLA PARKWAY",
            "address_2": "SUITE 100",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "92610",
            "telephone_number": "949-727-9099",
            "fax_number": "949-727-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27462 PORTOLA PARKWAY",
            "address_2": "SUITE 100",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "92610",
            "telephone_number": "949-727-9099",
            "fax_number": "949-727-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANESHMAND",
        "first_name": "HOOTAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G73325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foothill Ranch, CA

Sources for this page

Verify at the official NPI Registry.