Active NPI
Daniel Enayati, M.D.
- General Practice Physician
- South Gate, CA
National Provider Identifier
1861525016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A55940
- Practice address
- 3175 E. Firestone Blvd
South Gate, CA 90280-2951 - Phone
- (323) 567-8910
- Fax
- (323) 567-8953
- NPI assigned
- Mar 14, 2007
- Last updated
- Jan 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A55940 | CA | Primary |
Addresses
Primary practice location
3175 E. Firestone Blvd
South Gate, CA 90280-2951
Mailing address
3175 E. Firestone Blvd
South Gate, CA 90280-2951
Phone (323) 567-8910
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
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7128 Seville Ave
Huntington Park, CA 90255-4906
Phone (323) 588-2186
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A55940 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jose Torreblanca MD Inc. | General Practice | Current | Accepting new patients |
| Mahfouz M. Michael,M.D.,Inc. | Past | Accepting new patients |
Locations
7128 Seville Ave
Huntington Pk, CA 90255
Phone (213) 588-2186
Organizations & group practices 2
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.
-
- General Practice Physician
- Huntington Park, CA
- NPI 1104247329
-
dba Clinica Medica San Miguel
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1093934986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294963200000",
"number": "1861525016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3175 E. FIRESTONE BLVD",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902802951",
"telephone_number": "323-567-8910",
"fax_number": "323-567-8953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3175 E. FIRESTONE BLVD",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902802951",
"telephone_number": "323-567-8910",
"fax_number": "323-567-8953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENAYATI",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2011-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A55940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Gate, CA
- Elizabeth Garcia, DDS Prof. Dental Corp.
- Ivonne Elizondo, RD, LD, CNSC
- Sara Elzein
- Emile G. Shenouda MD Inc. (Centro Medico Guadalupano Para La Familia)
- Emile G. Shenouda MD, Inc
- Eng W Moy M.D., Inc
- Francisco Santiago Enverga, DMD
- Francisco Joseph Escobedo II, MD
- Julio Cesar Escobedo, RDA
- Susana Espinoza
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.