Organization Active NPI

Daniel S Foreman MD

  • Specialist
  • Auburn, CA
National Provider Identifier
1023206166
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A45204 Issued in CA
Legal business name
DANIEL S FOREMAN MD
Practice address
3126 Professional Dr
Suite 300
Auburn, CA 95603-2407
Phone
(530) 885-3767
Fax
(530) 885-3201
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Dr. Daniel S Foreman, MD
Title
Owner
Phone
(530) 885-3767

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPT6581T CA
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A45204 CA Primary

Addresses

Primary practice location

3126 Professional Dr
Suite 300
Auburn, CA 95603-2407

Mailing address

3126 Professional Dr
Suite 300
Auburn, CA 95603-2407
Phone (530) 885-3767

Other names 1

  • Daniel S Foreman MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930099705 CA DME Supplier - Physician - Ophthalmology 1052308616 1 other NPI on this enrollment
Practice locations: Auburn, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

11775 Education St
Ste 203
Auburn, CA 95602
Phone (530) 885-3767

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1023206166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 PROFESSIONAL DR",
            "address_2": "SUITE 300",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032407",
            "telephone_number": "530-885-3767",
            "fax_number": "530-885-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 PROFESSIONAL DR",
            "address_2": "SUITE 300",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032407",
            "telephone_number": "530-885-3767",
            "fax_number": "530-885-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL S FOREMAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-885-3767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT6581T",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A45204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniel S Foreman MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.