Daniel O. Mongiano, MD, a Professional Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A54903 Issued in CA

Legal business name

DANIEL O. MONGIANO, MD, A PROFESSIONAL MEDICAL CORPORATION

Doing business as

AV Occupational Medicine

Practice address

42220 10TH St W
Ste 109
Lancaster, CA 93534-7075

Phone

(661) 951-9195

NPI assigned

Jul 13, 2006

Last updated

Feb 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jackie Bahlman

Title

Biller

Phone

(661) 951-9195

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AV Occupational Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Daniel O Mongiano, M.D.

  • Family Medicine Physician
  • Lancaster, CA
  • NPI 1154436814
  Medicare reassignment NPD
• Heidy Canales Navarro

  • Family Nurse Practitioner
  • Lancaster, CA
  • NPI 1518663426
  NPD (past)
• Patricia A Mongiano, R.P.T.

  • Physical Therapist
  • Lancaster, CA
  • NPI 1851406557
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1982629853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42220 10TH ST W",
            "address_2": "STE 109",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347075",
            "telephone_number": "661-951-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42220 10TH ST W",
            "address_2": "STE 109",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347075",
            "telephone_number": "661-951-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL O. MONGIANO, MD, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "BAHLMAN",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "661-951-9195",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A54903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A549030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AV Occupational Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ester Dandan
• Channing Dane, MA, LMFT
• Elizabeth Danforth
• Linh Thi Thuy Dang
• Daniel M Massari Chiropractic Corporation
• Michael Medhat Daniel, DPM
• Scott Daniel, DO
• Cierra Daniels
• Joyce R Daniels
• Ramy Danon, M.S. MFT

• Family Medicine Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.