Daniel Depmore, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA140356 Issued in CA

Practice address

831 Via Suerte
Suite 102
San Clemente, CA 92673-6531

Phone

(949) 364-5600

Fax

(949) 364-2231

NPI assigned

Aug 12, 2006

Last updated

Nov 4, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1336151224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 VIA SUERTE",
            "address_2": "SUITE 102",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736531",
            "telephone_number": "949-364-5600",
            "fax_number": "949-364-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 VIA SUERTE",
            "address_2": "SUITE 102",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736531",
            "telephone_number": "949-364-5600",
            "fax_number": "949-364-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPMORE",
        "first_name": "DANIEL",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA140356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Physician Assistant in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.