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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A84350
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryNPI 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.