Jude Dante

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

9541-PA-C Issued in AZ

Practice address

6363 Wilshire Blvd Ste 516
Los Angeles, CA 90048-5726

Phone

(561) 543-3096

NPI assigned

Apr 3, 2023

Last updated

Apr 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1932804713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 MESSANA TER",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637291",
            "telephone_number": "561-543-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 WILSHIRE BLVD STE 516",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485726",
            "telephone_number": "561-543-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTE",
        "first_name": "JUDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "AZ",
            "license": "9541-PA-C",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "9541-PA-C",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "9541-PA-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Dansiger
• Elena Nicole Dansky
• Zoetania Dantas, MD
• Dante a. Banta, M.D., Inc. (Clinica Western)
• Dante Almendral MD, a Medical Corporation
• Kristell Justice V Dantoc
• Sahitya Dantuluri, MD
• Brandon Dantzler
• Nastaran Danyalyan, PHARMACIST
• Brian Dao

• Medical Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.