Organization Active NPI

Daniel S. Bandari, M.D. Inc

Doing business as MS Center of Southern California

  • Neurology Physician
  • Newport Beach, CA
National Provider Identifier
1972743821
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A84350 Issued in CA
Legal business name
DANIEL S. BANDARI, M.D. INC
Doing business as
MS Center of Southern California
Practice address
3900 W Coast Hwy
Suite 330
Newport Beach, CA 92663-4091
Phone
(949) 706-5580
Fax
(949) 706-5585
NPI assigned
Mar 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Authorized official

Name
Dr. Daniel S Bandari, M.D.
Title
President / Medical Director
Phone
(949) 706-5580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X A84350 CA Primary

Addresses

Primary practice location

3900 W Coast Hwy
Suite 330
Newport Beach, CA 92663-4091

Mailing address

3900 W Coast Hwy
Suite 330
Newport Beach, CA 92663-4091
Phone (949) 706-5580

Other names 1

  • MS Center of Southern California Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090504000022 CA Part B Supplier - Clinic/Group Practice 5294883179 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Laguna Hills, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1972743821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 W COAST HWY",
            "address_2": "SUITE 330",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634091",
            "telephone_number": "949-706-5580",
            "fax_number": "949-706-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W COAST HWY",
            "address_2": "SUITE 330",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634091",
            "telephone_number": "949-706-5580",
            "fax_number": "949-706-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL S. BANDARI, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "BANDARI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT / MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-706-5580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A84350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MS Center of Southern California",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MS Center of Southern California",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.