Mohammad Reza Danesh, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A048943 Issued in CA

Practice address

31581 Canyon Estates Dr
Lake Elsinore, CA 92532-0424

Phone

(951) 244-3500

Fax

(951) 244-3535

NPI assigned

Aug 15, 2005

Sex

Male

Sole proprietor

Yes

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Emergency Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bridge Home Health Home health agency, Murrieta, CA, CCN 559145

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: mohammad.danesh.p17@direct.regal.nextgenshare.com
• Direct secure messaging: mohammad.danesh.p49@direct.kmsm.nextgenshare.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.

• Southern California Primary Care Medical Group, Inc

  • Family Medicine Physician
  • Lake Elsinore, CA
  • NPI 1376632281
  Medicare reassignment NPD Authorized official
• Southern California Primary Care Canyon Lake Urgent & Family Care

  • Non-Pharmacy Dispensing Site
  • Lake Elsinore, CA
  • NPI 1710242474
  NPD
• Anaheim Memorial Medical Center

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1295782381
  NPD (past)

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

• Bridge Home Health Riverside LLC

  • Home Health Agency
  • Murrieta, CA
  • NPI 1174092423
  Care Compare affiliation

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1811999261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31581 CANYON ESTATE DR",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925320242",
            "telephone_number": "951-244-3500",
            "fax_number": "951-244-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31581 CANYON ESTATES DR",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925320424",
            "telephone_number": "951-244-3500",
            "fax_number": "951-244-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANESH",
        "first_name": "MOHAMMAD",
        "middle_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A048943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Curayag, LMFT
• Adam Cutright
• Carey Ann Czuczka
• Joanne Dagonese, MS IN SPECIAL ED
• Bill Thomas Dailey, RADT-I
• Lora L Daniel
• David J Carlisle DDS Inc
• Leidy Karina Davila
• Artez Davis
• Zavonnika Davis

• Family Medicine Physician in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.