Active NPI
Daniel Eugene Virnich Jr., M.D.
- Internal Medicine Physician
- Marina del Rey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A97664
- Practice address
- 4060 Glencoe Ave Apt 306
Marina del Rey, CA 90292-5884 - Phone
- (303) 667-8950
- NPI assigned
- Dec 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A97664 | CA | Primary |
Addresses
Primary practice location
4060 Glencoe Ave Apt 306
Marina del Rey, CA 90292-5884
Mailing address
4060 Glencoe Ave Apt 306
Marina del Rey, CA 90292-5884
Phone (303) 667-8950
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Chicago, Pritzker School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 N Rose Ave
Oxnard, CA 93030-3722
Phone (805) 988-2500
Hospital & facility affiliations
- St Johns Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A97664 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Specialists of California, PC | Internal Medicine | Current | Accepting new patients |
| Starling Oncology Or, a Professional Corporation | Past | Accepting new patients | |
| Lakeside Medical Associates, a Medical Group, Inc. | Past | Accepting new patients | |
| Petrel Emergency Physicians, a Medical Corporation | Past | Accepting new patients | |
| Unified Therapeutics LLC | Past | Accepting new patients |
Locations
2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655
1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500
1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616
4650 Lincoln Blvd
Venice, CA 90292
Phone (310) 577-5505
Interoperability endpoints
- daniel.virnich.p1@direct.lakeside.nextgenshare.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
-
- Rheumatology Physician
- Burbank, CA
- NPI 1861499535
-
- Emergency Medicine Physician
- Marina del Rey, CA
- NPI 1154734663
-
- Hematology & Oncology Physician
- Portland, OR
- NPI 1891536223
-
- Family Medicine Physician
- Chicago, IL
- NPI 1154590305
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oxnard, CA
- NPI 1073665360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720143175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4060 GLENCOE AVE APT 306",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902925884",
"telephone_number": "303-667-8950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 GLENCOE AVE APT 306",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902925884",
"telephone_number": "303-667-8950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIRNICH",
"first_name": "DANIEL",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A97664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marina del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.