Individual provider Active NPI

Danthea Mae Palmares, RPT

  • Physical Medicine & Rehabilitation Physician
  • Granada Hills, CA
National Provider Identifier
1801991955
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT28812 Issued in CA
Practice address
10515 Balboa Blvd Ste 140
Granada Hills, CA 91344-6350
Phone
(818) 363-3000
Fax
(818) 363-3099
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT28812 CA Primary

Addresses

Primary practice location

10515 Balboa Blvd Ste 140
Granada Hills, CA 91344-6350

Mailing address

14827 Germain St
Mission Hills, CA 91345-2112
Phone (818) 363-3000

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

State licenses

LicenseStateTypeSpecialty
PT28812CAMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801991955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14827 GERMAIN ST",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452112",
            "telephone_number": "818-363-3000",
            "fax_number": "818-363-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 BALBOA BLVD STE 140",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446350",
            "telephone_number": "818-363-3000",
            "fax_number": "818-363-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMARES",
        "first_name": "DANTHEA",
        "middle_name": "MAE",
        "name_prefix": "Prof.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT28812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.