Active NPI
Shaun C Daly, M.D.
- Surgery Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A141954
- Practice address
- 101 The City Dr S
Orange, CA 92868-3201 - Phone
- (714) 880-7812
- NPI assigned
- Aug 7, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A141954 | CA | Primary |
Addresses
Primary practice location
101 The City Dr S
Orange, CA 92868-3201
Mailing address
200 S Manchester Ave Ste 300
Orange, CA 92868-3219
Phone (714) 456-2986
Other practice location 1
1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone (312) 515-0378
Other practice location 2
3600 Park Sierra Dr Ste 105
Riverside, CA 92505-3059
Phone (951) 278-8870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Rush Medical College of Rush University, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12595 Hesperia Rd
Suite 100
Victorville, CA 92395-5882
Phone (703) 269-2013
Hospital & facility affiliations
- Uci Health-Orange
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 15 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 37 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A141954 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Surgical Clinic, Inc. | Surgery | Current | Accepting new patients |
| University Surgeons of Orange a Medical Group | Surgery | Current | Accepting new patients |
| University of California Irvine | Past | Accepting new patients | |
| Mission Surgical Center Inc | Past | Accepting new patients | |
| Doctors Hospital of Riverside LLC | Past | Accepting new patients | |
| Riverside Healthcare System, L.P. | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| Uhs Corona Inc | Past | Accepting new patients |
Locations
2250 S Main St
Ste 206
Corona, CA 92882
Phone (951) 278-8870
23961 Calle de la Magdalena
Ste 4
Laguna Hills, CA 92653
101 The City Dr S
Bldg 22C
Orange, CA 92868
Phone (714) 456-5308
101 The City Dr S
Bldg 29
Orange, CA 92868
Phone (714) 456-7005
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
200 S Manchester Ave
Ste 300
Orange, CA 92868
Phone (714) 424-9001
101 The City Dr S
Bldg 22
Orange, CA 92868
Phone (888) 717-4463
3660 Park Sierra Dr
Ste 105
Riverside, CA 92505
Phone (951) 278-8870
7300 Magnolia Ave
Riverside, CA 92504
Phone (951) 278-8870
12595 Hesperia Rd
Ste 100
Victorville, CA 92395
Phone (760) 881-3377
12595 Hesperia Rd
Ste 101
Victorville, CA 92395
Phone (760) 881-3377
17203 Jasmine St
Victorville, CA 92395
Phone (760) 881-3377
Interoperability endpoints
- sdaly181886@direct.llu.edu
Organizations & group practices 8
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.
-
- Surgery Physician
- Orange, CA
- NPI 1407806904
-
- Surgery Physician
- Riverside, CA
- NPI 1457300436
-
- General Acute Care Hospital
- Riverside, CA
- NPI 1124596382
-
- Ambulatory Surgical Clinic/Center
- Riverside, CA
- NPI 1447194030
-
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
-
- Rehabilitation Hospital Unit
- Corona, CA
- NPI 1255327920
-
- Infusion Therapy Clinic/Center
- Irvine, CA
- NPI 1417027475
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667952000000",
"number": "1154577328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S MANCHESTER AVE STE 300",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683219",
"telephone_number": "714-456-2986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 THE CITY DR S",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683201",
"telephone_number": "714-880-7812"
}
],
"practiceLocations": [
{
"address_1": "1653 W Congress Pkwy",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606123833",
"country_code": "US",
"telephone_number": "312-515-0378",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3600 Park Sierra Dr Ste 105",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925053059",
"country_code": "US",
"telephone_number": "951-278-8870",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DALY",
"first_name": "SHAUN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-07",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A141954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.