DR. DANIEL VITANTONIO (MD) – Clinical Neurophysiology Physician, NPI 1083024145

DR. DANIEL VITANTONIO (MD) is a healthcare provider. based in Newport beach, California. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 20835 (NH). The NPI Number for DR. DANIEL VITANTONIO (MD) is 1083024145

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANIEL VITANTONIO (MD)
NPI
1083024145
Phone
(949) 228-9676
Address
20331 IRVINE AVE STE E2
Enumeration Date
29 April 2014
Last Update Date
24 March 2026

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3109231437
Graduation Year
2014 (12 years ago)
PAC ID
5698002079
Group Practice PAC ID
5294187290
Professional Enrollment ID
I20190807003131
Address ID
CA902925287MA475XXBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness85
Years active:12State licenses:4Digital endpointsOther names

2,479 NEUROLOGY in CA

Provider Addresses for DR. DANIEL VITANTONIO (MD)

  • 20331 IRVINE AVE STE E2

    NEWPORT BEACH, CA 926600223

    Phone: (949) 228-9676

    Fax: (877) 987-7729

    Type: Location

  • PO BOX 2277

    VENICE, CA 902942277

    Phone: (310) 923-1437

    Fax: (310) 439-3701

    Type: Mailing

  • 475 WASHINGTON BLVD

    MARINA DEL REY, CA 902925287

    Phone: (310) 923-1437

    Type: Location

  • 336 22ND AVE N

    NASHVILLE, TN 372031844

    Phone: (615) 346-8182

    Fax: (615) 829-8970

    Type: Mailing

  • 737 VERNON AVE

    VENICE, CA 902912738

    Phone: (615) 346-8182

    Fax: (615) 829-8970

    Type: Location

  • 326 GRAND BLVD

    VENICE, CA 902914221

    Phone: (615) 346-8182

    Fax: (615) 829-8970

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-01-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190807003131INeurologyCATBD
I20240116000621INeurologyTXTBD

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
95938Placement of skin electrodes and measurement of stimulated sites on arms and legs1313$0
View full utilization report →

Insurance plans in this area (ZIP 92660)

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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: 5294187290View full group profile
NameSpecialtyState
N E U R O L O G YMD
N E U R O L O G YMI
N E U R O L O G YNY
Neurology, Psychiatry, NeurologyCA

Reviews

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Frequently asked questions

Is there an official ID for DR. DANIEL VITANTONIO (MD) in U.S. healthcare records?
The official identifier for DR. DANIEL VITANTONIO (MD) is NPI 1083024145.
Active or inactive — what applies to DR. DANIEL VITANTONIO (MD)?
You should see DR. DANIEL VITANTONIO (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. DANIEL VITANTONIO (MD)?
At a glance, DR. DANIEL VITANTONIO (MD) is tied to Clinical Neurophysiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. DANIEL VITANTONIO (MD)?
Directory geography for DR. DANIEL VITANTONIO (MD) centers on Newport Beach, California.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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