Individual provider Active NPI

Danny Delacerda, PA-C

  • Physician Assistant
  • Torrance, CA
National Provider Identifier
1962098590
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
58855 Issued in CA
Practice address
24329 Crenshaw Blvd Ste a
Torrance, CA 90505-5335
Phone
(310) 868-8100
NPI assigned
Dec 17, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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 58855 CA Primary

Addresses

Primary practice location

24329 Crenshaw Blvd Ste a
Torrance, CA 90505-5335

Mailing address

2613 Pacific Coast Hwy
Torrance, CA 90505-7037
Phone (424) 625-0220

Other practice location 1

2900 Lomita Blvd
Torrance, CA 90505-5102
Phone (310) 784-3740

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
I20220408001089 CA Practitioner - Physician Assistant 4587050026 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23326 Hawthorne Blvd
Suite 200
Torrance, CA 90505-3756

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
58855CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Health Association Inc CurrentSince Sep 1, 2022 Accepting new patients
United Urgent Care and Wellness Center, Inc. PastSince Dec 1, 2020 Accepting new patients

Locations

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

2900 Lomita Blvd
Torrance, CA 90505
Phone (310) 257-7260

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

Organizations & group practices 3

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": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1962098590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2613 PACIFIC COAST HWY",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905057037",
            "telephone_number": "424-625-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24329 CRENSHAW BLVD STE A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055335",
            "telephone_number": "310-868-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Lomita Blvd",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905055102",
            "country_code": "US",
            "telephone_number": "310-784-3740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELACERDA",
        "first_name": "DANNY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-17",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "58855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.