Daryl Madayag Soria

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP95005880 Issued in CA

Practice address

656 Mowry Ave
Fremont, CA 94536-4113

Phone

(510) 818-9237

Fax

(510) 818-9222

NPI assigned

Feb 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Daryl Mae Madayag Soria Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1487980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1184164022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 W EL CAMINO REAL FL 2",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940406203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364113",
            "telephone_number": "510-818-9237",
            "fax_number": "510-818-9222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4036 Dakota Dr",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952066424",
            "country_code": "US",
            "telephone_number": "510-717-7171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "795 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943012302",
            "country_code": "US",
            "telephone_number": "650-853-2943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORIA",
        "first_name": "DARYL",
        "middle_name": "MADAYAG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-25",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005880",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95005880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FURNISHING NUMBER",
            "identifier": "95005880",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE",
            "identifier": "95005880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARYL MAE",
            "last_name": "SORIA",
            "middle_name": "MADAYAG",
            "credential": "MSN-FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Nurse Practitioner in Fremont, CA
• Providers in Fremont, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.