Individual provider Active NPI

Daniel Kevin Tapanes, MFT

  • Marriage & Family Therapist
  • San Bernardino, CA
National Provider Identifier
1255679577
Registry record updated Jan 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
47642 Issued in CA
Practice address
1325 S Auto Plaza Dr Ste 130
San Bernardino, CA 92408-2763
Phone
(909) 885-5757
NPI assigned
Jan 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 47642 CA Primary

Addresses

Primary practice location

1325 S Auto Plaza Dr Ste 130
San Bernardino, CA 92408-2763

Mailing address

1131 N Dearborn St
Redlands, CA 92374-4947
Phone (909) 633-7202

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251219001896 CA Order and Referring Only - Marriage and Family Therapist 6608275706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: daniel.tapanes.p1@direct.sythc.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1255679577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 N DEARBORN ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744947",
            "telephone_number": "909-633-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S AUTO PLAZA DR STE 130",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082763",
            "telephone_number": "909-885-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPANES",
        "first_name": "DANIEL",
        "middle_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "47642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.