Active NPI
Daa M Xiao, M.D.
- Family Medicine Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A93956
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A93956 | CA | MD | Hospitalist Physician |
Practice roles
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
- 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.
-
- Emergency Medicine Physician
- Fresno, CA
- NPI 1457603573
-
- Internal Medicine Physician
- Carmichael, CA
- NPI 1508899758
-
- Emergency Medicine Physician
- Truckee, CA
- NPI 1215365218
-
- General Acute Care Hospital
- French Camp, CA
- NPI 1801830583
-
- Hospitalist Physician
- Manteca, CA
- NPI 1689320459
-
- Internal Medicine Physician
- Merced, CA
- NPI 1730431875
-
- Internal Medicine Physician
- French Camp, CA
- NPI 1225063761
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1780047712
Family Medicine
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1073911137
Family Medicine
-
- Long Term Care Hospital
- Kentfield, CA
- NPI 1760424261
-
- Internal Medicine Physician
- Sonora, CA
- NPI 1881059657
-
- Internal Medicine Physician
- Clovis, CA
- NPI 1992742852
Family Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
- Home Health Agency
- Elk Grove, CA
- NPI 1750892857
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.