Active NPI
Daniel James Clark, DO
- Anesthesiology Physician
- Kahului, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- DOS-1343
- Practice address
- 33 Lono Ave Ste 305
Kahului, HI 96732-1635 - Phone
- (808) 538-3232
- Fax
- (808) 538-3220
- NPI assigned
- May 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4708 | OK | |
| Anesthesiology Physician | 207L00000X | E-5858 | AR | |
| Anesthesiology Physician | 207L00000X | OP 60011959 | WA | |
| Anesthesiology Physician | 207L00000X | 4799 | AZ | |
| Anesthesiology Physician | 207L00000X | 20A10260 | CA | |
| Anesthesiology Physician | 207L00000X | DOS-1343 | HI | Primary |
Addresses
Primary practice location
33 Lono Ave Ste 305
Kahului, HI 96732-1635
Mailing address
33 Lono Ave Ste 305
Kahului, HI 96732-1635
Phone (808) 538-3232
Other practice location 1
221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 244-9056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110110000240 | HI | Practitioner - Anesthesiology | 9931258159 | Reassigns benefits to 3 organizations |
| I20201118001663 | CA | Practitioner - Anesthesiology | 9931258159 | Reassigns benefits to 8 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-5858 | AR | MD | Anesthesiology Physician |
| 20A10260 | CA | MD | Anesthesiology Physician |
| DOS-1343 | HI | MD | Anesthesiology Physician |
| 4708 | OK | MD | Anesthesiology Physician |
| OP 60011959 | WA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Anesthesia Medical Group Inc | Anesthesiology | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Family Medicine | Current | Accepting new patients |
| Anesthesia & Analgesia Medical Group, Inc. | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Hilo Benioff Medical Center | Anesthesiology | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Cep America - Anesthesia, PC | Anesthesiology | Current | Accepting new patients |
| First Choice Physician Partners | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| First Choice Physician Partners | Current | Accepting new patients | |
| First Choice Physician Partners | Family Medicine | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Current | Accepting new patients |
Locations
8200 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 544-5400
2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731
1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235
1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839
1409 E Briggsmore Ave
Modesto, CA 95355
Phone (209) 550-4725
1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901
681 S Parker St
Ste 150
Orange, CA 92868
Phone (562) 805-7918
4001 J St
Sacramento, CA 95819
Phone (916) 453-4037
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300
8011 Don Ave
Stockton, CA 95209
Phone (209) 955-3001
460 Plumas Blvd
Ste 202
Yuba City, CA 95991
Phone (530) 749-5500
1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000
82 Puuhonu Pl
Ste 100
Hilo, HI 96720
Phone (808) 937-2001
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
1301 Punchbowl St
#C
Honolulu, HI 96813
Phone (808) 538-9011
221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290
Interoperability endpoints
- dclark32349@hhsc.direct-ci.com
- dclark643401@hisp.ehr.sutterhealth.org
Organizations & group practices 38
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Honolulu, HI
- NPI 1356362990
Anesthesiology, HI
-
- Anesthesiology Physician
- Santa Rosa, CA
- NPI 1659320984
Anesthesiology, CA
-
- Anesthesiology Physician
- Walnut Creek, CA
- NPI 1790401438
Anesthesiology, CA
-
- Nursing Facility/Intermediate Care Facility
- Hilo, HI
- NPI 1609949775
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hilo Benioff Medical CenterThe Anesthesia Medical Group IncSutter Valley Medical Foundation
Practice addresses (Care Compare)
1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3000
221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 244-9056
2800 L St
Sacramento, CA 95816-5616
Hospital & facility affiliations
- Hilo Benioff Medical Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1003017229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 LONO AVE STE 305",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967321635",
"telephone_number": "808-538-3232",
"fax_number": "808-538-3220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 LONO AVE STE 305",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967321635",
"telephone_number": "808-538-3232",
"fax_number": "808-538-3220"
}
],
"practiceLocations": [
{
"address_1": "221 Mahalani St",
"address_purpose": "LOCATION",
"city": "Wailuku",
"state": "HI",
"postal_code": "967932526",
"country_code": "US",
"telephone_number": "808-244-9056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARK",
"first_name": "DANIEL",
"middle_name": "JAMES",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-29",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "4708",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AR",
"license": "E-5858",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "OP 60011959",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "4799",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "20A10260",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "HI",
"license": "DOS-1343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kahului, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.