Kathy Dao, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

62983 Issued in CA

Practice address

4955 Van Nuys Blvd Ste 615
Sherman Oaks, CA 91403-1839

Phone

(818) 905-2222

NPI assigned

May 16, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Domenick J Sisto M D IncGroup PAC ID 0648230292, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sherman Oaks Hospital Hospital, Sherman Oaks, CA, CCN 050755

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: kdao@laoi1795.srs-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Domenick J Sisto M D Inc

  • Specialist
  • Palmdale, CA
  • NPI 1710941539
  Medicare reassignment Care Compare group

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

• Prime Healthcare Services - Sherman Oaks, LLC

  • General Acute Care Hospital
  • Sherman Oaks, CA
  • NPI 1750491247
  Care Compare affiliation

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1699466102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 1ST ST APT H",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906801690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD STE 615",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031839",
            "telephone_number": "818-905-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAO",
        "first_name": "KATHY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "62983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Goli Danial, M.A.
• Daniel Capen, M.D., a Professional Corporation
• Danielle Taillieu Psychology, Professional Corporation
• Fatima Danishwar
• Sally Ruth Danto, NP, IBCLC
• Rosanna Daragchyan, LMFT, MS
• Suzanna Darakchyan, NP
• Dash Diagnostics Medical
• Ashton Tyler Daulo
• Roseline Marie Dauphin Baptiste, M.D.

• Physician Assistant in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.