Individual provider Active NPI

Daniel James Clark, DO

  • Anesthesiology Physician
  • Kahului, HI
National Provider Identifier
1003017229
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
DOS-1343 Issued in HI
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

Updated by the provider on Jul 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
E-5858ARMDAnesthesiology Physician
20A10260CAMDAnesthesiology Physician
DOS-1343HIMDAnesthesiology Physician
4708OKMDAnesthesiology Physician
OP 60011959WAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Anesthesia Medical Group Inc Anesthesiology CurrentSince Aug 1, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Apr 1, 2025 Accepting new patients
Sutter Valley Medical Foundation Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Anesthesia & Analgesia Medical Group, Inc. Anesthesiology CurrentSince Feb 1, 2025 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Aug 1, 2022 Accepting new patients
Hilo Benioff Medical Center Anesthesiology CurrentSince Jul 1, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Apr 1, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Apr 1, 2025 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
First Choice Physician Partners CurrentSince Nov 1, 2020 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Aug 1, 2022 Accepting new patients
First Choice Physician Partners Current Accepting new patients
First Choice Physician Partners Family Medicine CurrentSince Nov 1, 2020 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Apr 1, 2025 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

  • Direct secure messaging: dclark32349@hhsc.direct-ci.com
  • Direct secure messaging: 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.

View all 38

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 Center 131 clinicians
The Anesthesia Medical Group Inc 25 clinicians
Sutter Valley Medical Foundation 2,473 clinicians

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 Hospital, Hilo, HI, CCN 120005

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

Verify at the official NPI Registry.