Gina Danesh, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

20A8286 Issued in CA

Practice address

1740 S Los Angeles St
105
Los Angeles, CA 90015-3632

Phone

(213) 742-7777

Fax

(213) 742-0808

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629129143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 26TH ST",
            "address_2": "449",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034621",
            "telephone_number": "213-742-7777",
            "fax_number": "213-742-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 S LOS ANGELES ST",
            "address_2": "105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153632",
            "telephone_number": "213-742-7777",
            "fax_number": "213-742-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANESH",
        "first_name": "GINA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A8286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Dandrea, PHD
• Paige Toomey Dandrea
• Danelle Fisher MD Inc
• Danesh Dental Corp.
• Deeba Danesh
• Jennifer Nika Danesh, MD
• Kayla Ahavah Danesh, MD
• Daneshgar Oral & Maxillofacial Surgery, Inc.
• Kourosh K Daneshgar, M.D.
• Shariar Shaun Daneshgar

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.