Stephanie Maria Daniel, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

20A12457 Issued in CA

Practice address

2144 4TH St Ste a
San Rafael, CA 94901-2668

Phone

(415) 390-2060

Fax

(415) 466-8031

NPI assigned

Oct 5, 2012

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 23, 2017 through Apr 23, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1336491984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SHATTUCK AVE",
            "address_2": "#177",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947093402",
            "telephone_number": "510-848-8585",
            "fax_number": "510-803-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 4TH ST STE A",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012668",
            "telephone_number": "415-390-2060",
            "fax_number": "415-466-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "STEPHANIE",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-05",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A12457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Anna Danel, M.D.
• Alexander Q Dang, M.A.; LMFT
• Kathleen Thuy Dang
• Daniel J. Solomon, MD Inc
• Jessica Jane Daniel, PA-C
• Isiah Daniels, CADC-II
• Jacqueline Danielson, R.N., M.S., L.M.F.T.
• Naseem Danish
• Vinh Anh Dao, M.D.,PH.D.
• Kacy Catherine Dapp

• General Practice Physician in San Rafael, CA
• Providers in San Rafael, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.