Active NPI
George Danial, D.O.
- Family Medicine Physician
- Encino, CA
National Provider Identifier
1790906527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A4720
- Practice address
- 4621 Rubio Avenue
Encino, CA 91436-3203 - Phone
- (818) 981-0050
- Fax
- (818) 907-7080
- NPI assigned
- May 1, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A4720 | CA | Primary |
Addresses
Primary practice location
4621 Rubio Avenue
Encino, CA 91436-3203
Mailing address
4621 Rubio Avenue
Encino, CA 91436-3203
Phone (818) 981-0050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX47200 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A4720 | CA | MD | Family Medicine Physician |
| 4720 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287446400000",
"number": "1790906527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4621 RUBIO AVENUE",
"city": "ENCINO",
"state": "CA",
"postal_code": "914363203",
"telephone_number": "818-981-0050",
"fax_number": "818-907-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4621 RUBIO AVENUE",
"city": "ENCINO",
"state": "CA",
"postal_code": "914363203",
"telephone_number": "818-981-0050",
"fax_number": "818-907-7080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIAL",
"first_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2010-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A4720",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX47200",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.