Active NPI
Daniel Fernandez Tamayo, DNP
- Family Nurse Practitioner
- Chino, CA
National Provider Identifier
1003650466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95405892
- Practice address
- 5562 Philadelphia St Ste 301
Chino, CA 91710-2499 - Phone
- (713) 589-5283
- NPI assigned
- Jun 20, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN61209743 | WA | |
| Registered Nurse | 163W00000X | 95405892 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95405892 | CA | Primary |
Addresses
Primary practice location
5562 Philadelphia St Ste 301
Chino, CA 91710-2499
Mailing address
23 Pacific Bay Cir Apt 304
San Bruno, CA 94066-6140
Phone (702) 885-2282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
211 Eastmoor Ave
Daly City, CA 94015-2036
Phone (415) 391-9686
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN61209743 | WA | MD | Registered Nurse |
| 95405892 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North East Medical Services | Current | Accepting new patients | |
| North East Medical Services | Current | Accepting new patients | |
| North East Medical Services | Current | Accepting new patients |
Locations
211 Eastmoor Ave
Daly City, CA 94015
Phone (650) 550-3923
82 Leland Ave
San Francisco, CA 94134
Phone (415) 391-9688
1870 Lundy Ave
San Jose, CA 95131
Phone (408) 573-9686
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- San Francisco, CA
- NPI 1518911304
-
- Federally Qualified Health Center (FQHC)
- San Francisco, CA
- NPI 1407490931
-
- Community/Retail Pharmacy
- San Jose, CA
- NPI 1902616279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750377600000",
"number": "1003650466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 PACIFIC BAY CIR APT 304",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940666140",
"telephone_number": "702-885-2282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5562 PHILADELPHIA ST STE 301",
"city": "CHINO",
"state": "CA",
"postal_code": "917102499",
"telephone_number": "713-589-5283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMAYO",
"first_name": "DANIEL",
"middle_name": "FERNANDEZ",
"name_prefix": "Dr.",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-20",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN61209743",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95405892",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95405892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.