Individual provider Active NPI

Daniel R Katzenberg, MD, PHD

  • Neurology with Special Qualifications in Child Neurology Physician
  • San Jose, CA
National Provider Identifier
1235193319
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
G71675 Issued in CA
Practice address
751 S Bascom Ave
Pediatrics Department
San Jose, CA 95128-2604
Phone
(408) 885-5440
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X G71675 CA
Pediatrics Physician 208000000X G71675 CA
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X G71675 CA Primary

Addresses

Primary practice location

751 S Bascom Ave
Pediatrics Department
San Jose, CA 95128-2604

Mailing address

25005 Oneonta Dr
Los Altos Hills, CA 94022-5134
Phone (408) 885-5000

Other identifiers 1

IdentifierTypeStateIssuer
00G716750MedicaidCA

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
I20100325000742 CA Practitioner - Sleep MedicinePractitioner - Pediatric MedicinePractitioner - Other (Physician) 5395871693 Reassigns benefits to 2 organizations
Practice locations: Mountain View, CA

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.91 of 100Reported as group
Quality
58.15
Promoting interoperability
100
Improvement activities
40
Cost
58.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G71675CAMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sirish Nakka MD Inc CurrentSince Nov 8, 2023 Accepting new patients
Aaron B Morse MD Inc CurrentSince Feb 3, 2019 Accepting new patients
Ying Zhang MD Professional Corporation Sleep Medicine Past Accepting new patients

Locations

150 Carnation Dr
Ste 4
Freedom, CA 95019
Phone (408) 724-0440

101 Wilson Rd
Ste D
Monterey, CA 93940
Phone (844) 387-5337

1665 Dominican Way
Ste 222
Santa Cruz, CA 95065
Phone (831) 465-0586

260 S Sunnyvale Ave
Ste 6
Sunnyvale, CA 94086
Phone (844) 387-5337

Interoperability endpoints

  • Direct secure messaging: dkatzenberg10861@santaclaravalley.direct-ci.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1235193319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25005 ONEONTA DR",
            "city": "LOS ALTOS HILLS",
            "state": "CA",
            "postal_code": "940225134",
            "telephone_number": "408-885-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 S BASCOM AVE",
            "address_2": "PEDIATRICS DEPARTMENT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282604",
            "telephone_number": "408-885-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZENBERG",
        "first_name": "DANIEL",
        "middle_name": "R",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "G71675",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G71675",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CA",
            "license": "G71675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G716750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.