Individual provider Active NPI

Danielle Zenovie Anastasiu, P.A.

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1891911038
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19108 Issued in CA
Practice address
1400 S Grand Ave Ste 707
Los Angeles, CA 90015-2881
Phone
(213) 839-1119
Fax
(213) 839-1120
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19108 CA Primary

Addresses

Primary practice location

1400 S Grand Ave Ste 707
Los Angeles, CA 90015-2881

Mailing address

570 S Greenwich St
Anaheim, CA 92804-2342
Phone (714) 206-7055

Other identifiers 1

IdentifierTypeStateIssuer
1891911038OtherCANPI

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090806000780 CA Practitioner - Physician Assistant 4880747955 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA19108CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Algos Inc., a Medical Corporation CurrentSince Aug 23, 2018 Accepting new patients
Algos Inc., a Medical Corporation CurrentSince Aug 23, 2018 Accepting new patients
Algos Inc., a Medical Corporation Past Accepting new patients
Algos Inc., a Medical Corporation Past Accepting new patients
Algos Inc., a Medical Corporation Past Accepting new patients

Locations

13193 Central Ave
Ste 220
Chino, CA 91710
Phone (909) 591-0843

891 Kuhn Dr
Ste 106
Chula Vista, CA 91914
Phone (619) 761-5308

1127 Wilshire Blvd
Ste 800
Los Angeles, CA 90017
Phone (213) 241-7250

1400 S Grand Ave
Ste 707
Los Angeles, CA 90015
Phone (213) 839-1119

1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200

69780 Stellar Dr
#A
Rancho Mirage, CA 92270
Phone (760) 424-3380

1125 E 17th St
Ste N452
Santa Ana, CA 92701
Phone (714) 597-7214

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1891911038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 S GREENWICH ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928042342",
            "telephone_number": "714-206-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S GRAND AVE STE 707",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900152881",
            "telephone_number": "213-839-1119",
            "fax_number": "213-839-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANASTASIU",
        "first_name": "DANIELLE ZENOVIE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA19108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891911038",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.