Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Tannous

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508493040

Daniel Tannous is a Family Practice in Ontario, California. Graduated from Loma Linda University School of Medicine in 2020, 6 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2295 S Vineyard Ave
Ontario, CA 91761-7925
Phone: (833) 574-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 176847 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508493040
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 25, 2020
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025
Mailing address2295 S Vineyard Ave, Ontario, CA 91761-7925

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ontario