Active NPI
Daniel Altamirano Abad, MD
- Family Medicine Physician
- Santa Ana, CA
National Provider Identifier
1851170633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- P29
- Practice address
- 2720 S Bristol St
Santa Ana, CA 92704-6207 - Phone
- (714) 426-5222
- NPI assigned
- Sep 21, 2023
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | P29 | CA | Primary |
Addresses
Primary practice location
2720 S Bristol St
Santa Ana, CA 92704-6207
Mailing address
1050 S Norton Ave Apt 2
Los Angeles, CA 90019-3209
Phone (323) 679-3442
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231011003363 | CA | Order and Referring Only - Family Practice | 0345695367 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P29 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1851170633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 S NORTON AVE APT 2",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900193209",
"telephone_number": "323-679-3442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 S BRISTOL ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927046207",
"telephone_number": "714-426-5222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTAMIRANO ABAD",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-21",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "P29",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.