MR. RANDY DIMATULAC DANAN P.T.
NPI 1295935807
Physical Therapist in Studio City, CA

Active since July 21, 2007
11429 VENTURA BLVD, STUDIO CITY, CA 91604(818) 766-9551(818) 508-1838 Get Directions Write a Review

NPPES record last updated: July 21, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Randy Dimatulac Danan P.t. NPPES

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

MR. RANDY DIMATULAC DANAN P.T. (NPI 1295935807) is an individual physical therapist in Studio City, California, licensed in California (PT21649) and active in the NPI registry since July 2007. He is a graduate of Other (1996).

NPPES Registry Identity

NPI1295935807
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. RANDY DIMATULAC DANANCredential: P.T.
Location Address11429 VENTURA BLVDStudio City, CA 91604-3143
Mailing Address11429 Ventura BlvdStudio City, CA 91604-3143 · (818) 766-9551 · Fax (818) 508-1838
Fax(818) 508-1838
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJuly 21, 2007
✔ NPI 1295935807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in CA · PT21649
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
11429 VENTURA BLVD, Studio City, CA 91604

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Randy Dimatulac Danan P.t. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951486182
PECOS Enrollment IDI20080311000658

Medicare Billing Reassignment

Medicare enrollment records show Randy Danan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
401 W LINCOLN AVE STE 100
Anaheim, CA 92805
  • Reassigned Medicare billing, California enrollment

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

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
11429 VENTURA BLVD
STUDIO CITY, CA 91604
Physical Therapist
11429 VENTURA BLVD
STUDIO CITY, CA 91604
Occupational Therapist
11429 VENTURA BLVD
STUDIO CITY, CA 91604
Physical Therapy Assistant
11429 VENTURA BLVD
STUDIO CITY, CA 91604
Occupational Therapist
11429 VENTURA BLVD
STUDIO CITY, CA 91604
Physical Therapy Assistant
11429 VENTURA BLVD
STUDIO CITY, CA 91604
Physical Therapy Assistant
11429 VENTURA BLVD
STUDIO CITY, CA 91604
Physical Therapy Assistant
11429 VENTURA BLVD
STUDIO CITY, CA 91604

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 Randy Danan's NPI number?

The NPI number for Randy Danan is 1295935807. It was assigned to this individual provider in the NPPES registry on July 21, 2007.

Where is Randy Danan located?

Randy Danan practices at 11429 Ventura Blvd, Studio City, CA 91604. The listed phone number is (818) 766-9551.

What is Randy Danan's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Randy Danan enrolled in Medicare?

Yes. Randy Danan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Randy Danan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randy Danan reassigns Medicare benefits to Alliance Physical Therapy Inc (Anaheim, CA). The 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 Randy Danan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Randy Danan was last updated on July 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.