NPIMap

Individual provider Active NPI

Daniel J Buckley, M.D.

  • Ophthalmology Physician
  • Daly City, CA
National Provider Identifier
1013916733
Registry record updated Jan 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G62652 Issued in CA
Practice address
1800 Sullivan Ave RM 410
Daly City, CA 94015-2224
Phone
(650) 991-9007
Fax
(650) 991-0882
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G62652 CA Primary

Addresses

Primary practice location

1800 Sullivan Ave RM 410
Daly City, CA 94015-2224

Mailing address

1800 Sullivan Ave RM 410
Daly City, CA 94015-2224
Phone (650) 991-9007

Other identifiers 1

IdentifierTypeStateIssuer
GR0066060MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080701000434 CA Practitioner - Ophthalmology 1658443924 Reassigns benefits to 3 organizations
Practice locations: Daly City, CA

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Farallon Eye Physicians CorpGroup PAC ID 3375570443, 4 clinicians
County of San MateoGroup PAC ID 9032023171, shared by 15 NPIs, 316 clinicians

Practice addresses (Care Compare)

1850 Sullivan Ave
Suite 500
Daly City, CA 94015-2215
Phone (650) 992-9223

222 W 39TH Ave
San Mateo, CA 94403-4364

Hospital & facility affiliations

  • San Mateo Medical Center Hospital, San Mateo, CA, CCN 050113
  • Ahmc Seton Medical Center Hospital, Daly City, CA, CCN 050289

Merit-based Incentive Payment System (MIPS)

Final score
21.98 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G62652CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Mateo CurrentSince Jun 13, 2007 Accepting new patients
County of San Mateo CurrentSince Aug 1, 2017 Accepting new patients
County of San Mateo CurrentSince Jun 13, 2007 Accepting new patients
Farallon Eye Physicians Corp Ophthalmology CurrentSince May 3, 2022 Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
Daniel J Buckley, MD, Inc Ophthalmology PastSince Jan 1, 1990 Accepting new patients
Mills-Peninsula Health Services Past Accepting new patients
Seton Medical Center Coatside Past Accepting new patients
Hill Physicians Care Solutions, Inc. Past Accepting new patients
Seton Medical Center Past Accepting new patients

Locations

1850 Sullivan Ave
Ste 500
Daly City, CA 94015
Phone (650) 992-9220

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dbuckley19087@smch.direct-ci.com
  • Direct secure messaging: dbuckley217177@hisp.ehr.sutterhealth.org

Organizations & group practices 12

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454198400000",
    "number": "1013916733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SULLIVAN AVE RM 410",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152224",
            "telephone_number": "650-991-9007",
            "fax_number": "650-991-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SULLIVAN AVE RM 410",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152224",
            "telephone_number": "650-991-9007",
            "fax_number": "650-991-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2016-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G62652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0066060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.