Active NPI
Daniel Peixoto Irby, MD
- Psychiatry Physician
- Albany, CA
National Provider Identifier
1114373370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A152488
- Practice address
- 400 Evelyn Ave Ste 225
Albany, CA 94706-1375 - Phone
- (510) 497-1882
- Fax
- (572) 900-2198
- NPI assigned
- May 6, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A152488 | CA | Primary |
| General Practice Physician | 208D00000X | A152488 | CA |
Addresses
Primary practice location
400 Evelyn Ave Ste 225
Albany, CA 94706-1375
Mailing address
440 N Barranca Ave
PMB 1143
Covina, CA 91723-1722
Phone (510) 497-1882
Other practice location 1
17 Glen Eden Ave Unit 6
Oakland, CA 94611-4316
Phone (510) 497-1882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A152488 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Mateo | Current | Accepting new patients | |
| Alight Psychiatry PC | Psychiatry | Current | Accepting new patients |
| Journey Clinical Psychiatry Ca PC | Psychiatry | Past | Accepting new patients |
| Richard a Bermudes, MD PC | Psychiatry | Past | Accepting new patients |
Locations
440 N Barranca Ave
Covina, CA 91723
Phone (510) 210-5030
222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Oakland, CA
- NPI 1811790801
-
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1679642326
-
- Psychiatry Physician
- New York, NY
- NPI 1922862309
-
- Psychiatry Physician
- Zephyr Cove, NV
- NPI 1740069996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1114373370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 N BARRANCA AVE",
"address_2": "PMB 1143",
"city": "COVINA",
"state": "CA",
"postal_code": "917231722",
"telephone_number": "510-497-1882",
"fax_number": "572-900-2198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 EVELYN AVE STE 225",
"city": "ALBANY",
"state": "CA",
"postal_code": "947061375",
"telephone_number": "510-497-1882",
"fax_number": "572-900-2198"
}
],
"practiceLocations": [
{
"address_1": "17 Glen Eden Ave Unit 6",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946114316",
"country_code": "US",
"telephone_number": "510-497-1882",
"fax_number": "572-900-2198",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IRBY",
"first_name": "DANIEL",
"middle_name": "PEIXOTO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-06",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A152488",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A152488",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.