Provider Type Icon

DANIEL O. MONGIANO MD A PROFESSIONAL MEDICAL CORPORATION NPI 1982629853


NPI Information

NPI: 1982629853
Provider Name: DANIEL O. MONGIANO, MD, A PROFESSIONAL MEDICAL CORPORATION

Doing Business As: AV OCCUPATIONAL MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0951367

Address:
42220 10TH ST W
STE 109
LANCASTER, CA
ZIP 93534
Phone: (661) 951-9195
Get Directions

DANIEL O. MONGIANO, MD, A PROFESSIONAL MEDICAL CORPORATION is a family medicine in Lancaster, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DANIEL O. MONGIANO, MD, A PROFESSIONAL MEDICAL CORPORATION NPI is 1982629853. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Av Occupational Medicine.

The provider's business location address is:

42220 10TH ST W
STE 109
LANCASTER, CA
ZIP 93534-075
Phone: (661) 951-9195

The provider's authorized official is Jackie Bahlman .
The authorized official title is Biller and has the following contact phone number (661) 951-9195.

The CLIA number assigned to this NPI record is 05D0951367 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 2/18/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA54903CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A54903MEDICARE PINCALIFORNIA
2EB750AMEDICARE PINCALIFORNIA
3G17941MEDICARE UPINCALIFORNIA
400A549030MEDICAIDCALIFORNIA
5EB750AMEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.