Organization Active NPI

Daniela Drake MD

  • Internal Medicine Physician
  • Culver City, CA
National Provider Identifier
1679947808
Registry record updated Nov 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G75951 Issued in CA
Legal business name
DANIELA DRAKE MD
Practice address
7305 Hannum Ave
Culver City, CA 90230-6150
Phone
(310) 464-0873
NPI assigned
Nov 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2015

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

Authorized official

Name
Dr. Daniela Drake, MDNPI 1922134907
Title
Physician
Phone
(310) 464-0873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G75951 CA Primary

Addresses

Primary practice location

7305 Hannum Ave
Culver City, CA 90230-6150

Mailing address

7305 Hannum Ave
Culver City, CA 90230-6150
Phone (310) 464-0873

Other identifiers 1

IdentifierTypeStateIssuer
EJ072AOtherMEDICARE PTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1448582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448582400000",
    "number": "1679947808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 HANNUM AVE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306150",
            "telephone_number": "310-464-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 HANNUM AVE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306150",
            "telephone_number": "310-464-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELA DRAKE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-27",
        "last_updated": "2015-11-27",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "310-464-0873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G75951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "EJ072A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.