Organization Active NPI

Candice Daneshvar MD Inc

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1912313115
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A121462 Issued in CA
Legal business name
CANDICE DANESHVAR MD INC
Practice address
6310 San Vicente Blvd Ste 220
Los Angeles, CA 90048-5458
Phone
(310) 274-9978
Fax
(310) 274-0595
NPI assigned
Jul 8, 2014
Last updated
Mar 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Dr. Candice Shirin Daneshvar, MDNPI 1841550597
Title
Ceo
Phone
(310) 274-9978

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A121462 CA Primary

Addresses

Primary practice location

6310 San Vicente Blvd Ste 220
Los Angeles, CA 90048-5458

Mailing address

6310 San Vicente Blvd Ste 220
Los Angeles, CA 90048-5458
Phone (310) 274-9978

Other practice location 1

150 N Robertson Blvd Ste 200
Beverly Hills, CA 90211-2144
Phone (310) 652-9347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140911001223 CA Part B Supplier - Clinic/Group Practice 3274752993 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9873/brand/4/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1912313115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 SAN VICENTE BLVD STE 220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485458",
            "telephone_number": "310-274-9978",
            "fax_number": "310-274-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 SAN VICENTE BLVD STE 220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485458",
            "telephone_number": "310-274-9978",
            "fax_number": "310-274-0595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 N Robertson Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902112144",
            "country_code": "US",
            "telephone_number": "310-652-9347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CANDICE DANESHVAR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "DANESHVAR",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "SHIRIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-274-9978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A121462",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.