| Daniel Itano, DO | |
|
101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 | |
| (928) 855-8185 | |
| Not Available |
| Full Name | Daniel Itano |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 13 Years |
| Location | 101 Civic Center Ln, Lake Havasu City, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194133041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 008447 (Arizona) | Secondary |
| 207Q00000X | Family Medicine | DO2126 (Nevada) | Primary |
| 207Q00000X | Family Medicine | 20A13692 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advanced Home Care | Henderson, NV | Home health agency |
| Serenity Hospice, Llc | Las vegas, NV | Hospice |
| Valley View Medical Center | Fort mohave, AZ | Hospital |
| Havasu Regional Medical Center | Lake havasu city, AZ | Hospital |
| Kingman Regional Medical Center | Kingman, AZ | Hospital |
| Desert Highlands Care Center | Kingman, AZ | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Apogee Medical Group Inc | 2961314265 | 97 |
| Itano And Associates Pllc | 6608392527 | 2 |
| Entity Name | Apogee Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760652218 PECOS PAC ID: 2961314265 Enrollment ID: O20031104000688 |
| Entity Name | American Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609869908 PECOS PAC ID: 3577467463 Enrollment ID: O20031121000688 |
| Entity Name | Cogent Healthcare Of Arizona Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568758266 PECOS PAC ID: 0648441006 Enrollment ID: O20110915000843 |
| Entity Name | Arizona Post-acute Medical Services 1 Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093254419 PECOS PAC ID: 4688951239 Enrollment ID: O20170508002340 |
| Entity Name | Nm Pacs 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366928749 PECOS PAC ID: 3375892060 Enrollment ID: O20200608000689 |
| Entity Name | Itano And Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598575003 PECOS PAC ID: 6608392527 Enrollment ID: O20250521002000 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Itano, DO 5870 Hiatus Rd, Tamarac, FL 33321-6424 Ph: (888) 447-2362 | Daniel Itano, DO 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 Ph: (928) 855-8185 |
Kristy M Whelan, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2082 Mesquite Ave, Suite 106, Lake Havasu City, AZ 86403 Phone: 928-680-4233 Fax: 928-680-6522 | |
Manu Lonial, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1741 Mesquite Ave # 100, Lake Havasu City, AZ 86403 Phone: 928-782-7972 Fax: 928-329-4522 | |
Ashley Marie Mulder, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2035 Mesquite Ave, Lake Havasu City, AZ 86403 Phone: 928-208-4598 Fax: 888-571-6436 | |
Kelli M Ward, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2090 Smoketree Ave N, Lake Havasu City, AZ 86403 Phone: 928-854-1800 Fax: 928-854-1847 | |
Michael Stephen Rosen, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2082 Mesquite Ave, Suite A106, Lake Havasu City, AZ 86403 Phone: 928-680-4233 Fax: 928-680-6522 | |
Dr. Thomas Eugene Long, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1841 Nugget Dr, Lake Havasu City, AZ 86404 Phone: 928-453-8880 Fax: 928-453-8880 |