Active NPI
Danielle Zenovie Anastasiu, P.A.
- Physician Assistant
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA19108
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891911038 | Other | CA | NPI |
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
Enrollment records 1
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.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA19108 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Algos Inc., a Medical Corporation | Current | Accepting new patients | |
| Algos Inc., a Medical Corporation | Current | 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.
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- NPI 1245832419
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- Pain Medicine Physician
- Santa Ana, CA
- NPI 1619451184
-
- Pain Medicine Physician
- Simi Valley, CA
- NPI 1063890275
-
- Pain Medicine Physician
- Rancho Mirage, CA
- NPI 1336695675
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.