Individual provider Active NPI

Daniel F Iacopi, MD

  • Psychiatry Physician
  • Encino, CA
National Provider Identifier
1659397727
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G30887 Issued in CA
Practice address
16055 Ventura Blvd Ste 545
Encino, CA 91436-2609
Phone
(818) 990-6616
Fax
(818) 990-6773
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G30887 CA Primary

Addresses

Primary practice location

16055 Ventura Blvd Ste 545
Encino, CA 91436-2609

Mailing address

16055 Ventura Blvd Ste 545
Encino, CA 91436-2609
Phone (818) 990-6616

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
I20120202000638 CA Practitioner - Psychiatry 4981861994 Practice locations: Encino, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of California, Geffen School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16055 Ventura Blvd
Encino, CA 91436-2609
Phone (818) 990-6616

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G30887CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1659397727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD STE 545",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362609",
            "telephone_number": "818-990-6616",
            "fax_number": "818-990-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD STE 545",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362609",
            "telephone_number": "818-990-6616",
            "fax_number": "818-990-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IACOPI",
        "first_name": "DANIEL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G30887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.