NPIMap

Individual provider Active NPI

Daniel Radnia, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Los Angeles, CA
National Provider Identifier
1659394633
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
92103 Issued in CA
Practice address
1016 S Robertson Blvd
101
Los Angeles, CA 90035-1505
Phone
(310) 985-4124
Fax
(310) 652-9292
NPI assigned
Jul 25, 2006
Last updated
Feb 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 92103 CA Primary
General Practice Physician 208D00000X A92103 CA

Addresses

Primary practice location

1016 S Robertson Blvd
101
Los Angeles, CA 90035-1505

Mailing address

12409 Texas Ave
Apt 09
Los Angeles, CA 90025-1970
Phone (310) 985-4124

Other identifiers 1

IdentifierTypeStateIssuer
00A921030MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050930000620 CA Practitioner - General Practice 9335174010 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8345 Reseda Blvd
Suite 209
Northridge, CA 91324-5941
Phone (747) 224-7994

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
92103CAMDMarriage & Family Therapist
A92103CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roam Healthcare Inc - a Professional Nursing Corporation CurrentSince Feb 28, 2018 Accepting new patients
Panorama Urgent Care Family Medicine Inc. CurrentSince Mar 16, 2015 Accepting new patients
Glenoaks Urgent Care Medical Group, Inc. General Practice Past Accepting new patients
Peter Jahangir Parker M D Inc. General Practice Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
Canoga Park Urgent Care Family Medicine General Practice PastSince Jul 21, 2012 Accepting new patients
Nationwide Medical Group, Inc Past Accepting new patients
Shalom Pain Treatment Medical Center Inc Past Accepting new patients
Peter Jahangir Parker, MD, Inc. PastSince May 22, 2022 Accepting new patients
Frontier Medical Group Inc. Past Accepting new patients

Locations

8345 Reseda Blvd
Ste 209
Northridge, CA 91324
Phone (747) 224-7994

14457 Roscoe Blvd
Panorama City, CA 91402
Phone (818) 435-3058

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25142/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1659394633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12409 TEXAS AVE",
            "address_2": "APT 09",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251970",
            "telephone_number": "310-985-4124",
            "fax_number": "310-652-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 S ROBERTSON BLVD",
            "address_2": "101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351505",
            "telephone_number": "310-985-4124",
            "fax_number": "310-652-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADNIA",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "92103",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A92103",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A921030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.