Hootan M Daneshmand, MD
Individual provider Active NPI Plastic Surgery Physician · Foothill Ranch, CA
NPI 1619987617 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1619987617
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic Surgery Physician 208200000X
- License
- G73325 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- 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
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 16 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060125001007 | CA | Practitioner - Plastic and Reconstructive Surgery | 2860406188 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (9 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hootan Daneshmand M D Incorporated | Plastic Surgery | Current |
Accepting new patients |
| Centennial Medical Group Inc. | Current |
Accepting new patients | |
| Saddleback Memorial Medical Center | Past | Accepting new patients | |
| Foothill Ranch Surgery & Medical Center, Inc. | Past |
Accepting new patients | |
| Mission Hospital Regional Medical Center | Past | Accepting new patients | |
| Orange Coast Memorial Medical Center | Past | Accepting new patients | |
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients | |
| South Coast Global Medical Center, Inc | Past | Accepting new patients | |
| Los Alamitos 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | G73325 | CA | Yes |
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
Other providers in Foothill Ranch, CA
- James Ross Cueto Chuatoco
- Clarity Anesthesia Medical Group
- Amy Cole
- Michael Richard Cowdrey
- Sara Cummo
- Huy Dang
- Dantian Therapy Acupuncture
- Lurleen Delacruz
- Denis J Yoshii, DO Inc
- Nikita Desai
All providers in Foothill Ranch, CA · Plastic Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.