Daniel Philip Waligora, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C25562 Issued in CA

Practice address

147 El Dorado St
Suite a
Monterey, CA 93940-3127

Phone

(831) 373-1813

Fax

(831) 373-1146

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Shaida Behnam MD Inc

  • Primary Care Clinic/Center
  • Monterey, CA
  • NPI 1174078315
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1235127564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 EL DORADO ST",
            "address_2": "SUITE A",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939403127",
            "telephone_number": "831-373-1813",
            "fax_number": "831-373-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 EL DORADO ST",
            "address_2": "SUITE A",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939403127",
            "telephone_number": "831-373-1813",
            "fax_number": "831-373-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALIGORA",
        "first_name": "DANIEL",
        "middle_name": "PHILIP",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C25562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ69774Y",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C255620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott J Wada, M.D.
• Craig Milyn Waddell, LCSW
• Wael Alfy DDS Inc
• Molly Waite, P.A.
• Walgreen Co (Walgreens #07081)
• Christine Veronica Walker, MFTI
• Stephen C Walker, MD
• Aaron Philip Wall
• Sherif A Warda, D.D.S., M.S.
• Sherry Warner, PH.D.

• Internal Medicine Physician in Monterey, CA
• Providers in Monterey, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.

Verify at the official NPI Registry.