Individual provider Active NPI

Danielle Marie Greer, DO

  • Hospitalist Physician
  • Tacoma, WA
National Provider Identifier
1073624672
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
20A12305 Issued in CA
Practice address
1709 Dock St
Tacoma, WA 98402-3204
Phone
(253) 682-1710
NPI assigned
Aug 31, 2006
Last updated
Feb 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OP00002142 WA
Internal Medicine Physician 207R00000X 20A12305 CA
Hospitalist Physician 208M00000X 20A12305 CA Primary

Addresses

Primary practice location

1709 Dock St
Tacoma, WA 98402-3204

Mailing address

7675 Dagget St
Ste 370
San Diego, CA 92111-2260
Phone (253) 682-1710

Other identifiers 1

IdentifierTypeStateIssuer
OP00002142OtherWASTATE MEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120919000208 CA Practitioner - HospitalistPractitioner - Internal Medicine 6800992678 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
12305CAMDVeterinarian
20A12305CAMDInternal Medicine Physician
OP00002142WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Menalam Health Services PC CurrentSince Aug 1, 2021 Accepting new patients
Menalam Health Services PC Hospitalist CurrentSince Aug 1, 2021 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Jun 1, 2016 Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Nov 24, 2021 Accepting new patients
California Emergency Physicians Medical Group, a Professional Corporat Internal Medicine CurrentSince Jun 1, 2016 Accepting new patients
California Emergency Physicians Medical Group a Professional Corp CurrentSince Jun 1, 2016 Accepting new patients
Southern California Permanente Medical Group CurrentSince Nov 24, 2021 Accepting new patients
County of Santa Clara CurrentSince Nov 17, 2021 Accepting new patients
County of Santa Clara CurrentSince Nov 17, 2021 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
County of Santa Clara Current Accepting new patients
Galen Inpatient Physicians PC Internal Medicine CurrentSince Jun 1, 2016 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
County of Santa Clara CurrentSince Nov 17, 2021 Accepting new patients
Sports Medicine Grant, Inc Past Accepting new patients
County of Santa Clara Internal Medicine Past Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

2185 Citracado Pkwy
#1182
Escondido, CA 92029
Phone (805) 473-7626

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

9400 No Name Uno
Gilroy, CA 95020
Phone (408) 848-2000

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

Interoperability endpoints

  • Direct secure messaging: dgreer180205@santaclaravalley.direct-ci.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Radiant HospiceSan Diego, CA, CCN 921792 Hospice W-2 Managing Employee (100%) Jan 30, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1073624672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7675 DAGGET ST",
            "address_2": "STE 370",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112260",
            "telephone_number": "253-682-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 DOCK ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023204",
            "telephone_number": "253-682-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "OP00002142",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A12305",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "20A12305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "OP00002142",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4647 Zion Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921202507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.