Active NPI
John Peter Daly, M.D.
- Psychiatry Physician
- San Jose, CA
National Provider Identifier
1174950992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A127297
- Practice address
- 150 W Hedding St FL 1
San Jose, CA 95110-1706 - Phone
- (408) 808-5299
- Fax
- (888) 377-2923
- NPI assigned
- Oct 11, 2013
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A127297 | CA | Primary |
Addresses
Primary practice location
150 W Hedding St FL 1
San Jose, CA 95110-1706
Mailing address
702 Meridian Ave Ste L #285
San Jose, CA 95125-5586
Phone (831) 345-3735
Other practice location 1
25 Allen St, STE B
Martinez, CA 94553
Phone (408) 364-7069
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A127297 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Traditions Psychiatry Group, P.C | Psychiatry | Current | Accepting new patients |
Locations
1287 Fulton Rd
Santa Rosa, CA 95401
Phone (707) 543-2031
Interoperability endpoints
- jdaly118689@santaclaravalley.direct-ci.net
Organizations & group practices 1
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
- Santa Rosa, CA
- NPI 1083802979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1174950992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 MERIDIAN AVE STE L #285",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951255586",
"telephone_number": "831-345-3735",
"fax_number": "888-377-2923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 W HEDDING ST FL 1",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951101706",
"telephone_number": "408-808-5299",
"fax_number": "888-377-2923"
}
],
"practiceLocations": [
{
"address_1": "25 Allen St, STE B",
"address_purpose": "LOCATION",
"city": "Martinez",
"state": "CA",
"postal_code": "94553",
"country_code": "US",
"telephone_number": "408-364-7069",
"fax_number": "888-377-2923",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DALY",
"first_name": "JOHN",
"middle_name": "PETER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-11",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A127297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.