Individual provider Active NPI

Daa M Xiao, M.D.

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1184679276
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A93956 Issued in CA
Practice address
2823 Fresno St
Fresno, CA 93721-1324
Phone
(559) 459-6000
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X A93956 CA
Hospitalist Physician 208M00000X A93956 CA
Family Medicine Physician 207Q00000X A93956 CA Primary

Addresses

Primary practice location

2823 Fresno St
Fresno, CA 93721-1324

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682

Other names 1

  • Suttisak Chavalithamrong Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081222000274 CA Practitioner - Family PracticePractitioner - Internal Medicine 5991708109 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A93956CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Faculty Associates, Inc. Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
County of San Joaquin CurrentSince Jul 6, 2010 Accepting new patients
Central California Faculty Medical Group, Inc. CurrentSince Jan 31, 2025 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Merced Hospitalist Medical Group, Inc. CurrentSince Mar 13, 2017 Accepting new patients
Central California Faculty Medical Group, Inc. Family Medicine CurrentSince Jan 31, 2025 Accepting new patients
Amplehealth CurrentSince Sep 1, 2016 Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp. CurrentSince Oct 1, 2016 Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp Current Accepting new patients
Superior Hospitalist Medical Group Inc Family Medicine CurrentSince Mar 15, 2016 Accepting new patients
California Emergency Physicians Medical Group a Professional Corp CurrentSince Oct 1, 2016 Accepting new patients
1125 Sir Francis Drake Boulevard Operating Company, LLC CurrentSince Sep 1, 2016 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Oct 1, 2016 Accepting new patients
County of San Joaquin CurrentSince Jul 6, 2010 Accepting new patients
University Faculty Associates , Inc. CurrentSince Jul 1, 2019 Accepting new patients
Galen Inpatient Physicians Inc Family Medicine CurrentSince Oct 1, 2016 Accepting new patients
San Joaquin Faculty Medical Group CurrentSince Jul 6, 2010 Accepting new patients
Port City Operating Company, LLC Past Accepting new patients
Community Foundation Medical Group Past Accepting new patients
Sutter Tracy Community Hospital Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

6620 Coyle Ave
Ste 202
Carmichael, CA 95608
Phone (916) 961-3434

6620 Coyle Ave
Ste 302
Carmichael, CA 95608
Phone (916) 966-8500

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

2335 E Kashian Ln
Ste 240
Fresno, CA 93701
Phone (559) 320-0545

2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

2625 E Divisadero St
Fresno, CA 93721
Phone (559) 453-5200

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3270 Arena Blvd
Ste 405
Sacramento, CA 95834
Phone (916) 418-4595

179 Fairview Ln
Sonora, CA 95370
Phone (209) 536-3850

Interoperability endpoints

  • Direct secure messaging: daa.xiao.1@17661.direct.athenahealth.com

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1184679276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 E DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211431",
            "telephone_number": "559-443-2682",
            "fax_number": "559-443-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211324",
            "telephone_number": "559-459-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIAO",
        "first_name": "DAA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A93956",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A93956",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A93956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUTTISAK",
            "last_name": "CHAVALITHAMRONG",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.