Micheal T Daniels

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

00796237 Issued in CA

Practice address

3265 Adams Ave Apt 31
San Diego, CA 92116-1649

Phone

(760) 508-9540

NPI assigned

Apr 11, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515888000000",
    "number": "1073977534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3265 ADAMS AVE APT 31",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921161649",
            "telephone_number": "760-508-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 ADAMS AVE APT 31",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921161649",
            "telephone_number": "760-508-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "MICHEAL",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2018-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "CA",
            "license": "00796237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPEN",
            "identifier": "228226",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228226",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Olivia Daniels
• Lori Beth Daniels, M.D.
• Madison Terra Daniels
• Marquese Daniels, DO
• Melodie Ruth Daniels, R.N.
• Misty Daniels, BCABA
• Sean Daniels, DDS
• Stephanie Delphine Daniels, PHARMD
• Stephanie E Daniels, RN
• Tamia Daniels

• Health Educator in San Diego, CA
• Providers in San Diego, CA by specialty
• Health Educator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.