Jacqualine J. Dancy, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 17046 Issued in CA

Practice address

283 Madonna Rd
Suite B
San Luis Obispo, CA 93405-5432

Phone

(805) 549-8880

Fax

(805) 549-8743

NPI assigned

Jun 18, 2006

Sex

Female

Sole proprietor

No

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.

• Kristopher Lyon, MD & Rachel May, MD, a Medical Corporation

  • Urgent Care Clinic/Center
  • San Luis Obispo, CA
  • NPI 1497572804
  Medicare reassignment NPD CA

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles (1 of 2)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AFFIDD/Endpoint/AFFIDD

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073558748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 MADONNA RD",
            "address_2": "SUITE B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934055432",
            "telephone_number": "805-549-8880",
            "fax_number": "805-549-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 MADONNA RD",
            "address_2": "SUITE B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934055432",
            "telephone_number": "805-549-8880",
            "fax_number": "805-549-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANCY",
        "first_name": "JACQUALINE",
        "middle_name": "J.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 17046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE #",
            "identifier": "PA 17046",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Denis Daigle, M.D.
• Matthew Dailey, DDS, MD
• Alexi Dalebout, PT
• Rebecca Lynn Dallmann
• Dan Copp, D.D.S., Inc.
• Diane Marie Danfield
• Daniel C Zovich MD Inc
• Frank Daniel, D.M.D.
• Bianca Daniels
• Darius Soleimany, M.D., Inc.

• All providers in San Luis Obispo, CA
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.