Individual provider Active NPI

Candice Shirin Daneshvar, MDD

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1841550597
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A 121462 Issued in CA
Practice address
6310 San Vicente Blvd Ste 220
Los Angeles, CA 90048-5458
Phone
(310) 274-9978
Fax
(310) 274-0595
NPI assigned
May 29, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A 121462 CA Primary

Addresses

Primary practice location

6310 San Vicente Blvd Ste 220
Los Angeles, CA 90048-5458

Mailing address

6310 San Vicente Blvd Ste 220
Los Angeles, CA 90048-5458
Phone (310) 274-9978

Other practice location 1

8635 W 3rd St Ste 160
Los Angeles, CA 90048-6103
Phone (310) 423-3361

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
I20140911001212 CA Practitioner - Obstetrics/Gynecology 7810116530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Pittsburgh School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6310 San Vicente Blvd
Suite 220
Los Angeles, CA 90048-5458
Phone (310) 274-9978

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A 121462CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Candice Daneshvar MD Inc Obstetrics & Gynecology CurrentSince Sep 2, 2014 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
San Vicente Women's Total Health Center Inc Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

6310 San Vicente Blvd
Ste 220
Los Angeles, CA 90048
Phone (310) 274-9977

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9873/brand/4/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1841550597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 SAN VICENTE BLVD STE 220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485458",
            "telephone_number": "310-274-9978",
            "fax_number": "310-274-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 SAN VICENTE BLVD STE 220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485458",
            "telephone_number": "310-274-9978",
            "fax_number": "310-274-0595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8635 W 3rd St Ste 160",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900486103",
            "country_code": "US",
            "telephone_number": "310-423-3361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANESHVAR",
        "first_name": "CANDICE",
        "middle_name": "SHIRIN",
        "name_prefix": "Dr.",
        "credential": "MDD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2022-07-21",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A 121462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.