Active NPI
Daniel S Foreman MD
- Specialist
- Auburn, CA
National Provider Identifier
1023206166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A45204
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT6581T | CA | |
| Specialist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.