Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Daniel Louis Fazzino, PA-C

Individual provider Medical Physician Assistant · NPI 1013496892

Daniel Louis Fazzino, PA-C is a Physician Assistant in West Hollywood, California. Graduated from Mercer University School of Medicine in 2018, 8 years ago. Practices with Anthony Martin Mills M D a Medical Corporation, a 12-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Trained at
Mercer University School of Medicine
Licensed in
CA
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8280 Santa Monica Blvd
West Hollywood, CA 90046-5915
Phone: (203) 217-1746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA55814 (CA)

Record details

NPI number1013496892
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 12, 2018
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Anthony Martin Mills M D A Medical Corporation — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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