Daniel Carrillo Maldonado, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A74326 Issued in CA

Practice address

1701 E Cesar Chavez Ave
Suite 402
Los Angeles, CA 90033-2464

Phone

(323) 317-9200

Fax

(323) 317-9206

NPI assigned

May 18, 2006

Last updated

Jan 11, 2018By the provider in NPPES

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

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

Specialty

Family Practice

Education

University of California, Geffen School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Care Specialists Medical CorporationGroup PAC ID 6709834112, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Curing Hands Home Health, Inc Home health agency, Burbank, CA, CCN 059361
• Heart 2 Heart Hospice Care, Inc Hospice, Burbank, CA, CCN 751610
• Adventist Health White Memorial Hospital, Los Angeles, CA, CCN 050103
• Monterey Park Conv Hosp Nursing home, Monterey Park, CA, CCN 055162

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: daniel.maldonado.2@24668.direct.athenahealth.com

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.

• Family Care Specialists Medical Corporation

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1649223777
  Medicare reassignment Care Compare group

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

• Curing Hands Home Health Inc

  • Home Health Agency
  • Burbank, CA
  • NPI 1821301490
  Care Compare affiliation
• Heart 2 Heart Hospice Care Inc

  • Community Based Hospice Care Agency
  • Burbank, CA
  • NPI 1063753010
  Care Compare affiliation
• Monterey Park Convalescent Hospital Inc

  • Skilled Nursing Facility
  • Monterey Park, CA
  • NPI 1487750303

  Nursing home

  Care Compare affiliation
• White Memorial Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1215927470
  Care Compare affiliation

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1851344949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 YORK BLVD STE 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900422634",
            "telephone_number": "323-255-5643",
            "fax_number": "323-254-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E CESAR CHAVEZ AVE",
            "address_2": "SUITE 402",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332464",
            "telephone_number": "323-317-9200",
            "fax_number": "323-317-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "DANIEL",
        "middle_name": "CARRILLO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A74326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sammy Maldonado Gutierrez
• Sergio Miguel Maldonado-Chaar
• Adilene Maldonado
• Angie Michelle Maldonado, BA
• Arnaldo Maldonado
• Elena B. Maldonado
• Emmanuel Eli Maldonado, CMT
• Ernesto Maldonado
• Fatima Maldonado
• Gabriela Maldonado

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.