Individual provider Active NPI

Daniel Joseph McClough, P.A

  • Physician Assistant
  • Corning, CA
National Provider Identifier
1023220167
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13458 Issued in CA
Practice address
706 Peach St
Corning, CA 96021-3355
Phone
(530) 690-2827
Fax
(784) 168-1989
NPI assigned
May 3, 2007
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13458 CA Primary

Addresses

Primary practice location

706 Peach St
Corning, CA 96021-3355

Mailing address

4597 County Rd FF
Orland, CA 95963
Phone (530) 865-3994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150225001655 TX Practitioner - Physician Assistant 8921186693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rolling Hills ClinicGroup PAC ID 6901093681, 13 clinicians

Practice addresses (Care Compare)

740 Solano St
Corning, CA 96021-3352
Phone (530) 690-2827

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.74 of 100Reported as group
Quality
94
Promoting interoperability
92
Improvement activities
40
Cost
65.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA13458CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rolling Hills Clinic PastSince Jun 30, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1023220167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4597 COUNTY RD FF",
            "city": "ORLAND",
            "state": "CA",
            "postal_code": "95963",
            "telephone_number": "530-865-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 PEACH ST",
            "city": "CORNING",
            "state": "CA",
            "postal_code": "960213355",
            "telephone_number": "530-690-2827",
            "fax_number": "784-168-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLOUGH",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA13458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, CA

Sources for this page

Verify at the official NPI Registry.