Active NPI
Daniel Jenkins
- Nursing Home Administrator
- Monterey, CA
National Provider Identifier
1003230939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- License
- 8012
- Practice address
- 81 Soledad Dr
Monterey, CA 93940-6037 - Phone
- (800) 353-2008
- NPI assigned
- Feb 12, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Nursing Home Administrator | 376G00000X | 8012 | CA | Primary |
Addresses
Primary practice location
81 Soledad Dr
Monterey, CA 93940-6037
Mailing address
250 Forest Ridge Rd Unit 6
Monterey, CA 93940-4129
Phone (310) 221-1827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8012 | CA | MD | Nursing Home Administrator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Danny S Angels LLC | Current | Accepting new patients |
Locations
81 Soledad Dr
Monterey, CA 93940
Phone (800) 353-2008
Organizations & group practices 1
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.
-
- Non-emergency Medical Transport (VAN)
- Monterey, CA
- NPI 1003373721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1003230939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 FOREST RIDGE RD UNIT 6",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939404129",
"telephone_number": "310-221-1827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 SOLEDAD DR",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939406037",
"telephone_number": "800-353-2008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-12",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "CA",
"license": "8012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.