NPIMap

Individual provider Active NPI

Mathias Wayne Daniels, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Watsonville, CA
National Provider Identifier
1255599015
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
A126857 Issued in CA
Practice address
65 Neilson St
Watsonville, CA 95076-2491
Phone
(831) 763-6049
Fax
(831) 768-6289
NPI assigned
May 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X MD60272416 WA
Orthopaedic Surgery of the Spine Physician 207XS0117X A126857 CA Primary

Addresses

Primary practice location

65 Neilson St
Watsonville, CA 95076-2491

Mailing address

65 Neilson St
Watsonville, CA 95076-2491
Phone (831) 763-6049

Other identifiers 2

IdentifierTypeStateIssuer
1255599015MedicaidWA
0294301OtherWAL&I

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131211000488 CA Practitioner - Orthopedic Surgery 0143485730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of New York Downstate Medical Center, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Assoc Medical Clinic IncGroup PAC ID 2769395375, 10 clinicians

Practice addresses (Care Compare)

820 S Akers St
Suite 220
Visalia, CA 93277-8307
Phone (559) 733-3346

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.3 of 100Reported as group
Quality
47.48
Improvement activities
40
Cost
73.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion235
Laminectomy or laminotomy (partial removal of spine bones)71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
126857CAMDMarriage & Family Therapist
A126857CAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Assoc Medical Clinic, Inc. Orthopaedic Surgery of the Spine CurrentSince Dec 1, 2019 Accepting new patients
Seattle Children'S Hospital Past Accepting new patients
Seth Criner, D.O., M.S., Inc. Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients
Watsonville Hospital Corporation Past Accepting new patients
Harborview Meical Center Past Accepting new patients
University of Washington Past Accepting new patients

Locations

1062 N Cherry St
Ste 1064
Tulare, CA 93274

820 S Akers St
Ste 220
Visalia, CA 93277
Phone (559) 625-0551

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1255599015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 NEILSON ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762491",
            "telephone_number": "831-763-6049",
            "fax_number": "831-768-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 NEILSON ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762491",
            "telephone_number": "831-763-6049",
            "fax_number": "831-768-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "MATHIAS",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "WA",
            "license": "MD60272416",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A126857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255599015",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0294301",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

Verify at the official NPI Registry.