Organization Active NPI

Michael C Daignault MD PC

  • General Practice Physician
  • Van Nuys, CA
National Provider Identifier
1689164089
Registry record updated May 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MICHAEL C DAIGNAULT MD PC
Practice address
6411 Sepulveda Blvd Ste 2B
Van Nuys, CA 91411-1304
Phone
(818) 341-0103
Fax
(818) 341-0106
NPI assigned
May 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2018

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

Authorized official

Name
Michael C Daignault, MDNPI 1366731911
Title
President
Phone
(818) 341-0103

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
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

6411 Sepulveda Blvd Ste 2B
Van Nuys, CA 91411-1304

Mailing address

6411 Sepulveda Blvd Ste 2B
Van Nuys, CA 91411-1304
Phone (818) 341-0103

National Provider Directory

National Provider Directory

Locations

6411 Sepulveda Blvd
Ste 2B
Van Nuys, CA 91411
Phone (818) 341-0103

Practitioners & affiliated clinicians

Practitioners 2

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": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525996800000",
    "number": "1689164089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6411 SEPULVEDA BLVD STE 2B",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111304",
            "telephone_number": "818-341-0103",
            "fax_number": "818-341-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 SEPULVEDA BLVD STE 2B",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111304",
            "telephone_number": "818-341-0103",
            "fax_number": "818-341-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C DAIGNAULT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-11",
        "last_updated": "2018-05-11",
        "status": "A",
        "authorized_official_last_name": "DAIGNAULT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-341-0103",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.