Jamal-Eddin Daher, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA66166 Issued in CA

Practice address

3927 S Howell Ave
Milwaukee, WI 53207-4421

Phone

(414) 295-9611

NPI assigned

Jan 13, 2022

Sex

Male

Sole proprietor

No

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.

• Ruh LLC

  • Physician Assistant
  • Milwaukee, WI
  • NPI 1417753260

  WI

  Medicare reassignment Authorized official
• Native American Mental Health Services Corporation

  • Psychiatry Physician
  • Redding, CA
  • NPI 1073919171

  CA

  Medicare reassignment Care Compare group
• Cana Psychiatric Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Peoria, AZ
  • NPI 1447851696

  NC

  Medicare reassignment
• Insight Mental Wellness PA

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1598243479

  TX

  Medicare reassignment
• Medvon Medical Clinic Professional Corporation

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1407513443
  NPD (past)

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Native American Mental Health Services Corporation 62 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in TX, NC, WI, CA4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 4

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 18, 2025.

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1134870827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3927 S HOWELL AVE STE 101",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532074421",
            "telephone_number": "414-295-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3927 S HOWELL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532074421",
            "telephone_number": "414-295-9611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Washington Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960012839",
            "country_code": "US",
            "telephone_number": "530-722-4942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHER",
        "first_name": "JAMAL-EDDIN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-13",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA66166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yimenu W. Dagnew, M.D.
• Heather Lynn Dague, M.D.
• Nora Dahbur, MD
• Manal A Dahcha, PHARMD
• Aziza Daher, LPC
• Rani Daher
• Krista Meredith Dahl-Koehler, PA-C
• Tiagan Dahl, LCSW
• Ann M Dahlberg
• Kevin James Dahlman, M.D.

• All providers in Milwaukee, WI
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.