Active NPI
Daniel Maryanov, RN
- Registered Nurse
- Los Angeles, CA
National Provider Identifier
1821462128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95182713
- Practice address
- 1891 Effie St
Los Angeles, CA 90026-1711 - Phone
- (323) 644-2000
- NPI assigned
- Nov 24, 2015
- Last updated
- Apr 27, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95182713 | CA | Primary |
Addresses
Primary practice location
1891 Effie St
Los Angeles, CA 90026-1711
Mailing address
1340 S Beverly Glen Blvd Apt 315
Los Angeles, CA 90024-5224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95182713 | Other | CA | CA BOARD OF REGISTERED NURSING |
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95182713 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587945600000",
"number": "1821462128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 S BEVERLY GLEN BLVD APT 315",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1891 EFFIE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900261711",
"telephone_number": "323-644-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARYANOV",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-24",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95182713",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA BOARD OF REGISTERED NURSING",
"identifier": "95182713",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- Mary Lou Rane PHD
- Mary Nasmyth, M.D., a Professional Corporation
- Mary R. Doost, MD a Medical Corporation
- Mary Rosenberg Physical Therapy
- Mary Tarry White LMFT
- Katherine Anne Briones Marzan, MD
- Maria Anita Almaria Marzan, D.D.S.
- Mehrab Marzban, MD
- Anita Marzonie, M.A., CCC-SLP
- Caroline Emily Marzwell, AMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.