Bruce Lynn Daniels, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G15846 Issued in CA

Practice address

301 Wisteria Dr
Santa Maria, CA 93455-1648

Phone

(805) 937-7511

NPI assigned

Nov 6, 2006

Last updated

Jul 9, 2007By the provider in NPPES

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)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1093884264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WISTERIA DR",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551648",
            "telephone_number": "805-937-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WISTERIA DR",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551648",
            "telephone_number": "805-937-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "BRUCE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G15846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G158460",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE NUMBER",
            "identifier": "G15846",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Thuy Dang
• Fadia Danial
• Daniel & Max, LLC (Stanton Optical)
• Daniel P. Shepard
• Phillip Wayne Daniel Jr.
• Tram Dao
• Fredrick Dapaah-Siakwan, MD
• Seta Nanor Darakdjian
• Michelle Ann Darden
• Andy Dare

• Plastic Surgery Physician in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.