Individual provider Active NPI

Dan Vasile, D.O

  • Family Medicine Physician
  • Apple Valley, CA
National Provider Identifier
1841353869
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6930 Issued in CA
Practice address
18522 US Highway 18 Ste 102
Apple Valley, CA 92307-2321
Phone
(760) 242-7707
Fax
(760) 242-1133
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A6930 CA Primary

Addresses

Primary practice location

18522 US Highway 18 Ste 102
Apple Valley, CA 92307-2321

Mailing address

18522 US Highway 18 Ste 102
Apple Valley, CA 92307-2321
Phone (760) 242-7707

Other practice location 1

7777 Milliken Ave
A
Rancho Cucamonga, CA 91730-6780
Phone (909) 948-8050

Other identifiers 2

IdentifierTypeStateIssuer
1841353869MedicaidCA
651204047OtherCATAX ID

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040128000256 CA Practitioner - Family PracticePractitioner - Other (Physician) 0941103071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12821 Main St
Suite 140
Hesperia, CA 92345-9127
Phone (760) 949-2500

18522 Hwy 18
Suite 102
Apple Valley, CA 92307-2321
Phone (760) 242-7707

18522 Hwy 18 102
Apple Valley, CA 92307-2321

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3350AZMDCounseling Psychologist
20A6930CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Urgent Care and Occupational Health Center a Professional Cor CurrentSince Sep 28, 2017 Accepting new patients
Meridian Urgent Care and Occupational Health Center a Professional Cor CurrentSince Sep 28, 2017 Accepting new patients
Meridian Urgent Care & Occupational Health Center a Professional Corp Current Accepting new patients
Community Healthcare Partner, Inc Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients

Locations

18522 US Highway 18
Ste 102
Apple Valley, CA 92307
Phone (760) 242-7707

705 E Virginia Way
Ste N
Barstow, CA 92311
Phone (760) 256-9243

12821 Main St
Ste 140
Hesperia, CA 92345
Phone (760) 242-7707

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1841353869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18522 US HIGHWAY 18 STE 102",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072321",
            "telephone_number": "760-242-7707",
            "fax_number": "760-242-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18522 US HIGHWAY 18 STE 102",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072321",
            "telephone_number": "760-242-7707",
            "fax_number": "760-242-1133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7777 Milliken Ave",
            "address_2": "A",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917306780",
            "country_code": "US",
            "telephone_number": "909-948-8050",
            "fax_number": "909-948-8061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASILE",
        "first_name": "DAN",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841353869",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "651204047",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.