Organization Active NPI

Daniel S. Bandari, M.D. Inc

  • Neurology Physician
  • Laguna Hills, CA
National Provider Identifier
1750521605
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A84350 Issued in CA
Legal business name
DANIEL S. BANDARI, M.D. INC
Practice address
24012 Calle de la Plata Ste 210
Laguna Hills, CA 92653-7623
Phone
(949) 706-5580
Fax
(949) 706-5585
NPI assigned
Mar 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Authorized official

Name
Dr. Daniel S. Bandari, M.D.NPI 1467482216
Title
President
Phone
(949) 706-5580

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
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X A84350 CA Primary

Addresses

Primary practice location

24012 Calle de la Plata Ste 210
Laguna Hills, CA 92653-7623

Mailing address

24012 Calle de la Plata Ste 210
Laguna Hills, CA 92653-7623
Phone (949) 706-5580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090504000022 CA Part B Supplier - Clinic/Group Practice 5294883179 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Laguna Hills, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

24012 Calle de la Plata
Ste 210
Laguna Hills, CA 92653
Phone (949) 706-5580

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1750521605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24012 CALLE DE LA PLATA STE 210",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537623",
            "telephone_number": "949-706-5580",
            "fax_number": "949-706-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24012 CALLE DE LA PLATA STE 210",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537623",
            "telephone_number": "949-706-5580",
            "fax_number": "949-706-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL S. BANDARI, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "BANDARI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-706-5580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A84350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.