Organization Active NPI

Dr Daniel a Paul OD Inc a Professional Corporation

  • Optometrist
  • Chino, CA
National Provider Identifier
1255658258
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8562 Issued in CA
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

Updated by the provider on Nov 24, 2014

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
SD0085620MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.