Individual provider Active NPI

Daniel W Tsegay, DNP, FNP-BC

  • Family Nurse Practitioner
  • Hercules, CA
National Provider Identifier
1306344825
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95008837 Issued in CA
Practice address
600 Alfred Nobel Dr Ste a
Hercules, CA 94547-1834
Phone
(510) 984-1103
Fax
(888) 628-9895
NPI assigned
Jan 30, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 804474 CA
Family Nurse Practitioner 363LF0000X 95008837 CA Primary

Addresses

Primary practice location

600 Alfred Nobel Dr Ste a
Hercules, CA 94547-1834

Mailing address

525 Saratoga Ave Apt 3
Santa Clara, CA 95050-5638
Phone (415) 747-0998

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200812002327 CA Practitioner - Nurse Practitioner 8224454962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
18.65 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
62.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SNF Specialists Medical Corporation CurrentSince Jul 16, 2020 Accepting new patients

Locations

1255 Travis Blvd
Fairfield, CA 94533
Phone (707) 425-0623

600 Alfred Nobel Dr
Ste A
Hercules, CA 94547
Phone (510) 984-1103

2300 Henry Ave
Pinole, CA 94564
Phone (510) 847-0879

Interoperability endpoints

  • Direct secure messaging: daniel.tsegay@358629024661508.direct.elationemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1306344825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 SARATOGA AVE APT 3",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950505638",
            "telephone_number": "415-747-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ALFRED NOBEL DR STE A",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471834",
            "telephone_number": "510-984-1103",
            "fax_number": "888-628-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSEGAY",
        "first_name": "DANIEL",
        "middle_name": "W",
        "credential": "DNP,  FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-30",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "804474",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hercules, CA

Sources for this page

Verify at the official NPI Registry.