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DAN DARDASHTI, MD INC.
NPI 1114953643
Internal Medicine in Valley Village, CA

Active since June 25, 2006CLIA 05D2014936 · Waiver
12626 RIVERSIDE DR, SUITE #506, VALLEY VILLAGE, CA 91607(818) 508-9190(818) 508-1648 Get Directions Write a Review

NPPES record last updated: July 2, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dan Dardashti, Md Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAN DARDASHTI, MD INC. (NPI 1114953643) is a healthcare organization registered as an internal medicine in Valley Village, California and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 15, 2027 and lists Dan Elia Dardashti, President, as its authorized official.

NPPES Registry Identity

NPI1114953643
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDAN DARDASHTI, MD INC.
Location Address12626 RIVERSIDE DR, SUITE #506Valley Village, CA 91607-3420
Mailing Address12626 Riverside Dr, Suite #506Valley Village, CA 91607-3420 · (818) 508-9190 · Fax (818) 508-1648
Phone(818) 508-9190
Fax(818) 508-1648
Organization SubpartNo
Authorized OfficialDan Elia DardashtiPresident · (818) 508-9190
Enumeration DateJune 25, 2006
Last NPPES UpdateJuly 2, 2010
✔ NPI 1114953643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A61457
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12626 RIVERSIDE DR, Valley Village, CA 91607
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Other Identifiers 3

Medicaid00A614570CA
Medicare ID-Type UnspecifiedW19577CA
Other00A614570CA · Blueshield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dan Dardashti, Md Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dan Dardashti, MD Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Dan Dardashti, M.D.
Internal Medicine
NPI 1275537524
12626 RIVERSIDE DR STE 506
Valley Village, CA 91607
(818) 508-9190
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2014936

Dan E Dardashti, MD · Valley Village, CA
Active · expires Aug 15, 2027
CLIA Number05D2014936
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 16, 2025
Certificate Expiration DateAugust 15, 2027
Laboratory DirectorDan E. Dardashti MD
Laboratory Phone(818) 508-9190
Laboratory LocationDan E Dardashti, MD12626 Riverside Dr Ste 411, Valley Village, CA 91607
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dan Dardashti, MD Inc.'s NPI number?

The NPI number for Dan Dardashti, MD Inc. is 1114953643. It was assigned to this organization in the NPPES registry on June 25, 2006.

Where is Dan Dardashti, MD Inc. located?

Dan Dardashti, MD Inc. is located at 12626 Riverside Dr Suite #506, Valley Village, CA 91607. The listed phone number is (818) 508-9190.

What is Dan Dardashti, MD Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dan Dardashti, MD Inc. enrolled in Medicare?

Yes. Dan Dardashti, MD Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dan Dardashti, MD Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Dan Dardashti, MD Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dan Dardashti, MD Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2014936) is associated with this NPI, valid through August 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dan Dardashti, MD Inc. was last updated on July 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.