Active NPI
Dr Daniel a Paul OD Inc a Professional Corporation
- Optometrist
- Chino, CA
National Provider Identifier
1255658258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8562
- Legal business name
- DR DANIEL A PAUL OD INC A PROFESSIONAL CORPORATION
- Practice address
- 12530 10TH St
Suite a
Chino, CA 91710-3520 - Phone
- (909) 627-7518
- NPI assigned
- Apr 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel A Paul, O.D.
- Title
- President
- Phone
- (909) 627-7518
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8562 | CA | Primary |
Addresses
Primary practice location
12530 10TH St
Suite a
Chino, CA 91710-3520
Mailing address
12530 10TH St
Suite a
Chino, CA 91710-3520
Phone (909) 627-7518
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0085620 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
12530 10th St
Chino, CA 91710
Phone (909) 627-7518
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Chino, CA
- NPI 1134676182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416787200000",
"number": "1255658258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12530 10TH ST",
"address_2": "SUITE A",
"city": "CHINO",
"state": "CA",
"postal_code": "917103520",
"telephone_number": "909-627-7518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12530 10TH ST",
"address_2": "SUITE A",
"city": "CHINO",
"state": "CA",
"postal_code": "917103520",
"telephone_number": "909-627-7518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR DANIEL A PAUL OD INC A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-29",
"last_updated": "2014-11-24",
"status": "A",
"authorized_official_last_name": "PAUL",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-627-7518",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "8562",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0085620",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.