Dan Dardashti, Md Inc. - Medicare Primary Care in Valley Village, CA

Dan Dardashti, Md Inc. is a medicare enrolled primary clinic (Internal Medicine) in Valley Village, California. The current practice location for Dan Dardashti, Md Inc. is 12626 Riverside Dr, Suite #506, Valley Village, California. For appointments, you can reach them via phone at (818) 508-9190. The mailing address for Dan Dardashti, Md Inc. is 12626 Riverside Dr, Suite #506, Valley Village, California and phone number is (818) 508-9190.

Dan Dardashti, Md Inc. is licensed to practice in California (license number A61457). The clinic also participates in the medicare program and its NPI number is 1114953643. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (818) 508-9190.

Contact Information

Dan Dardashti, Md Inc.
12626 Riverside Dr
Suite #506
Valley Village
CA 91607-3420
(818) 508-9190
(818) 508-1648

Primary Care Clinic Profile

Full NameDan Dardashti, Md Inc.
SpecialityInternal Medicine
Location12626 Riverside Dr, Valley Village, California
Authorized Official Name and PositionDan Elia Dardashti (PRESIDENT)
Authorized Official Contact8185089190
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dan Dardashti, Md Inc.
12626 Riverside Dr
Suite #506
Valley Village
CA 91607-3420

Ph: (818) 508-9190
Dan Dardashti, Md Inc.
12626 Riverside Dr
Suite #506
Valley Village
CA 91607-3420

Ph: (818) 508-9190

NPI Details:

NPI Number1114953643
Provider Enumeration Date06/25/2006
Last Update Date07/02/2010

Medicare PECOS Information:

Medicare PECOS PAC ID6204841232
Medicare Enrollment IDO20060213000701

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Medical Identifiers

Medical identifiers for Dan Dardashti, Md Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114953643NPI-NPPES
00A614570OtherCABLUESHIELD
00A614570MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A61457 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Dan Dardashti, Md Inc. acts as a billing entity for following providers:
Provider NameDan E Dardashti
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275537524
PECOS PAC ID: 7214945872
Enrollment ID: I20060327000360

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