DANIEL LOUIS FAZZINO (PA-C) – Medical Physician Assistant, NPI 1013496892

DANIEL LOUIS FAZZINO (PA-C) is a healthcare provider. based in West hollywood, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA55814 (CA). The NPI Number for DANIEL LOUIS FAZZINO (PA-C) is 1013496892

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL LOUIS FAZZINO (PA-C)
NPI
1013496892
Phone
(203) 217-1746
Address
8280 SANTA MONICA BLVD
Enumeration Date
12 August 2018
Last Update Date
25 February 2025

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3105501010
Graduation Year
2018 (8 years ago)
PAC ID
8527303544
Group Practice PAC ID
1456404573
Professional Enrollment ID
I20181220000129
Address ID
CA900693709WE9201XBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

Provider Addresses for DANIEL LOUIS FAZZINO (PA-C)

  • 8280 SANTA MONICA BLVD

    WEST HOLLYWOOD, CA 900465915

    Phone: (203) 217-1746

    Type: Mailing

  • 76 BARNHILL RD

    WOODBURY, CT 067982219

    Phone: (203) 217-1746

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 138 Open Payments records for all available years, with a total value of $2,703.

Total Amount is formed as General ($2,703) + Research ($0) + Ownership ($0) = $2,703.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Abbott Laboratories ($616).

Total Amount

$2,703

General + Research + Ownership

Payments

138

Total payment records

General Amount

$2,703

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-12-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181220000129IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes128116$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report7974$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3532$0
99204New patient office or other outpatient visit, 45-59 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 90046)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456404573View full group profile
NameSpecialtyState
Infectious Disease, Internal MedicineCA
Family PracticeCA
Physician AssistantCA
Clinical Social WorkerCA
Infectious Disease, Internal MedicineCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Physician AssistantCA
Physician AssistantCA
Internal MedicineCA
Marriage And Family TherapistCA

Reviews

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Frequently asked questions

Can I cross-check DANIEL LOUIS FAZZINO (PA-C) using NPI 1013496892?
NPI 1013496892 belongs to DANIEL LOUIS FAZZINO (PA-C); compare other details if you need extra assurance.
Is DANIEL LOUIS FAZZINO (PA-C) still an active registrant?
DANIEL LOUIS FAZZINO (PA-C) carries an active NPI according to the public dataset.
What kind of doctor is DANIEL LOUIS FAZZINO (PA-C)?
DANIEL LOUIS FAZZINO (PA-C) is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is DANIEL LOUIS FAZZINO (PA-C) associated with West Hollywood?
Public fields place DANIEL LOUIS FAZZINO (PA-C) around West Hollywood, California. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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