Individual provider Active NPI

Maria V Danilychev, M.D.

  • Internal Medicine Physician
  • Covelo, CA
National Provider Identifier
1255419800
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A82520 Issued in CA
Practice address
24065 Biggar LN
Covelo, CA 95428-0247
Phone
(707) 983-6181
Fax
(707) 983-6802
NPI assigned
Nov 1, 2006
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A82520 CA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X A82520 CA
Internal Medicine Physician 207R00000X A82520 CA Primary

Addresses

Primary practice location

24065 Biggar LN
Covelo, CA 95428-0247

Mailing address

4420 Hotel Circle CT Ste 265
San Diego, CA 92108-3434
Phone (844) 977-2255

Other practice location 1

6155 Cornerstone CT E
Ste 220
San Diego, CA 92121-4737
Phone (844) 616-7381

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
I20071022000694 CA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3476649435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Round Valley Indian Health Center, Inc.Group PAC ID 9234128927, 17 clinicians

Practice addresses (Care Compare)

24065 Biggar LN
Covelo, CA 95428-9669
Phone (707) 983-6404

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A82520CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Round Valley Indian Health Center, Inc. CurrentSince May 10, 2025 Accepting new patients
Round Valley Indian Health Center Past Accepting new patients
St. Joseph Health Northern California, LLC PastSince May 10, 2025 Accepting new patients
Lightbridge Hospice, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mdanilychev71543@scrippshlth.medalliesdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1255419800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 HOTEL CIRCLE CT STE 265",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083434",
            "telephone_number": "844-977-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24065 BIGGAR LN",
            "city": "COVELO",
            "state": "CA",
            "postal_code": "954280247",
            "telephone_number": "707-983-6181",
            "fax_number": "707-983-6802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6155 CORNERSTONE CT E",
            "address_2": "STE 220",
            "address_purpose": "LOCATION",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214737",
            "country_code": "US",
            "telephone_number": "844-616-7381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANILYCHEV",
        "first_name": "MARIA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A82520",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A82520",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A82520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covelo, CA

Sources for this page

Verify at the official NPI Registry.