Organization Active NPI

Daniel B. Channell, M.D., Inc.

  • Clinic/Center
  • Upland, CA
National Provider Identifier
1225343320
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
G85321 Issued in CA
Legal business name
DANIEL B. CHANNELL, M.D., INC.
Practice address
600 N Mountain Ave
Suite C102
Upland, CA 91786-4359
Phone
(909) 981-4955
Fax
(909) 981-9463
NPI assigned
Aug 12, 2010
Last updated
Aug 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Authorized official

Name
Dr. Daniel Brook Channell, M.D.
Title
Physician/President
Phone
(909) 981-4955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X G85321 CA Primary

Addresses

Primary practice location

600 N Mountain Ave
Suite C102
Upland, CA 91786-4359

Mailing address

600 N Mountain Ave
Suite C102
Upland, CA 91786-4359
Phone (909) 981-4955

National Provider Directory

National Provider Directory

Locations

600 N Mountain Ave
Ste C102
Upland, CA 91786
Phone (909) 981-4955

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1225343320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N MOUNTAIN AVE",
            "address_2": "SUITE C102",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864359",
            "telephone_number": "909-981-4955",
            "fax_number": "909-981-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MOUNTAIN AVE",
            "address_2": "SUITE C102",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864359",
            "telephone_number": "909-981-4955",
            "fax_number": "909-981-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL B. CHANNELL, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "CHANNELL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "BROOK",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "909-981-4955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "G85321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.