Ghassan S Dahhan, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A38553 Issued in CA

Practice address

1759 W Avenue J
#101
Lancaster, CA 93534-2703

Phone

(661) 948-1388

Fax

(661) 948-1223

NPI assigned

Mar 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Antelope Valley Nephrology Medical Group, Inc.

  • Specialist
  • Lancaster, CA
  • NPI 1336172949
  NPD

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1821066325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 E PALMDALE BLVD",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504847",
            "telephone_number": "661-948-1388",
            "fax_number": "661-948-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1759 W AVENUE J",
            "address_2": "#101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342703",
            "telephone_number": "661-948-1388",
            "fax_number": "661-948-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHHAN",
        "first_name": "GHASSAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A38553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOA385530",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110040128",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannivi O Dacula, RPT
• Ramela Dadayan
• Kanikka L Dadd
• Navid Daee II
• Jean Angelica Dael
• Qiyuan Dai, MD
• Dale a. Alexander, PH.D., Inc.
• Kai Dallas, MD
• Damle Medical Corp
• Pradeep Balkrishna Damle, M.D.

• Nephrology Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.