Daniel Bactol Patiag, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95012511 Issued in CA

Practice address

1320 E Madison Ave
El Cajon, CA 92021-8531

Phone

(619) 456-9800

NPI assigned

Aug 17, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Daniel Bactol Patiag Professional name

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Emily'S Medical Group Apc

  • Family Medicine Physician
  • El Cajon, CA
  • NPI 1265775845
  NPD
• Grossmont Hospital Corporation

  • General Acute Care Hospital
  • La Mesa, CA
  • NPI 1528041811
  NPD (past)

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

{
    "created_epoch": "1566000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1073169769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 E MADISON AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920218531",
            "telephone_number": "619-456-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 E MADISON AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920218531",
            "telephone_number": "619-456-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATIAG",
        "first_name": "DANIEL",
        "middle_name": "BACTOL",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-17",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIEL",
            "last_name": "PATIAG",
            "middle_name": "BACTOL",
            "credential": "FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Krunal A Patel, PHARM.D
• Rakesh Patel, M.D
• Shilpa Patel, NP
• Shreya Manu Patel, PA
• Smit Ashok Patel, O.D.
• Patriot Transportation Services,Inc
• Kristina Nicole Patterson
• Tiffany Rose Paugh
• Christiana Woodward Paul, MA, LMFT
• Riva Paulos, CRNA

• Family Nurse Practitioner in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.