DANNIE LYNN PERDOMO DO
NPI 1861997561
General Practice in San Diego, CA
About Dannie Lynn Perdomo Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANNIE LYNN PERDOMO DO (NPI 1861997561) is an individual general practice provider in San Diego, California, licensed in California (23109) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Lake Erie Col Of Osteo Med At Seton Hill Univ (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dannie Lynn Perdomo Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92103
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 Dannie Perdomo's NPI number?
The NPI number for Dannie Perdomo is 1861997561. It was assigned to this individual provider in the NPPES registry on March 26, 2018.
Where is Dannie Perdomo located?
Dannie Perdomo practices at 3900 Fifth Ave Ste 110, San Diego, CA 92103. The listed phone number is (858) 554-1212.
What is Dannie Perdomo's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Dannie Perdomo enrolled in Medicare?
Yes. Dannie Perdomo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Dannie Perdomo was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Dannie Lynn Perdomo, DO · NPI 1861997561
General Practice physician in San Diego, California. Individual provider, active in the CMS NPPES registry since March 26, 2018.
## Identity
- **NPI:** 1861997561 (Entity type: Individual)
- **Enumerated:** March 26, 2018
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 23109 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3900 FIFTH AVE STE 110, San Diego, CA 92103-3122
- **Phone:** (858) 554-1212
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Lake Erie Col Of Osteo Med At Seton Hill Univ, class of 2018
## Record status
- **NPPES last updated:** April 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1861997561) · Data from the CMS NPPES public registry.