Individual provider Active NPI

Danilo Vidoya Salandanan, MD

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1629280565
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A051496 Issued in CA
Practice address
2010 Zonal Ave
2P52 - Uadc
Los Angeles, CA 90033
Phone
(323) 226-3753
Fax
(323) 226-3261
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A051496 CA Primary

Addresses

Primary practice location

2010 Zonal Ave
2P52 - Uadc
Los Angeles, CA 90033

Mailing address

20586 Crestline Dr
Diamond Bar, CA 91765-4711
Phone (909) 598-2403

Other identifiers 1

IdentifierTypeStateIssuer
0028228OtherCAMEDICAL UPIN

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
I20130805000369 CA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5991947947

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A051496CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1629280565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20586 CRESTLINE DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654711",
            "telephone_number": "909-598-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 ZONAL AVE",
            "address_2": "2P52 - UADC",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-226-3753",
            "fax_number": "323-226-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALANDANAN",
        "first_name": "DANILO",
        "middle_name": "VIDOYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A051496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL UPIN",
            "identifier": "0028228",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.