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

Dr. Daniel Vitantonio, MD

Individual provider Neurology Physician · NPI 1083024145

Dr. Daniel Vitantonio, MD is a Neurology in Marina del Rey, California. Graduated from Georgetown University School of Medicine in 2014, 12 years ago. Practices with Gamma Neuro Network Inc, a 5-clinician group and accepts Medicare assignment. Licensed in California, Michigan, New Hampshire and Texas.

Years since qualifying
12
Trained at
Georgetown University School of Medicine
Licensed in
CA, MI, NH, TX
In the registry since
2014
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

475 Washington Blvd
Marina del Rey, CA 90292-5287
Phone: (310) 923-1437
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neurophysiology Physician (primary) Taxonomy 2084N0600X · Licence A143344 (CA)
Neurology Physician Taxonomy 2084N0400X · Licence 20835 (NH)
Neurology Physician Taxonomy 2084N0400X · Licence A143344 (CA)
Neurology Physician Taxonomy 2084N0400X · Licence 4301502449 (MI)
Neurology Physician Taxonomy 2084N0400X · Licence T1593 (TX)

Record details

NPI number1083024145
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 29, 2014
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026
Mailing addressPo Box 2277, Venice, CA 90294-2277

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Gamma Neuro Network Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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