Organization Active NPI

Daniel Franco MD, Inc

  • General Practice Physician
  • San Bernardino, CA
National Provider Identifier
1104049378
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A516530 Issued in CA
Legal business name
DANIEL FRANCO MD, INC
Practice address
1800 Western Ave Ste 401
San Bernardino, CA 92411-1355
Phone
(909) 880-3677
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Daniel Franco, MDNPI 1568494151
Title
Owner
Phone
(909) 880-3677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A516530 CA Primary

Addresses

Primary practice location

1800 Western Ave Ste 401
San Bernardino, CA 92411-1355

Mailing address

1800 Western Ave Ste 401
San Bernardino, CA 92411-1355
Phone (909) 880-3677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050412000715 CA Part B Supplier - Clinic/Group Practice 0547207599 Receives reassigned benefits from 4 practitioners
Practice locations: San Bernardino, CA

National Provider Directory

National Provider Directory

Locations

490 Alabama St
Ste 104
Redlands, CA 92373

1800 Western Ave
Ste 401
Sn Bernrdno, CA 92411
Phone (909) 528-3641

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104049378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 WESTERN AVE STE 401",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111355",
            "telephone_number": "909-880-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WESTERN AVE STE 401",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111355",
            "telephone_number": "909-880-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL FRANCO MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRANCO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-880-3677",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A516530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.