Daniela Morcos-Gannon, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A55352 Issued in CA

Practice address

643 W East Ave
Chico, CA 95926-7201

Phone

(530) 899-2981

Fax

(530) 898-1040

NPI assigned

Jun 16, 2005

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

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmorcosgannon15362@enloedirect.org

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.

• Enloe Medical Center

  • Surgery Physician
  • Chico, CA
  • NPI 1477975613
  Medicare reassignment NPD
• Enloe Medical Center

  • Community/Retail Pharmacy
  • Chico, CA
  • NPI 1912949538
  NPD
• Enloe Medical Center

  • Cardiovascular Disease Physician
  • Chico, CA
  • NPI 1720099328
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239667200000",
    "number": "1346245214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 W EAST AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959267201",
            "telephone_number": "530-899-2981",
            "fax_number": "530-898-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 W EAST AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959267201",
            "telephone_number": "530-899-2981",
            "fax_number": "530-898-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORCOS-GANNON",
        "first_name": "DANIELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2009-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A55352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A553521",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tisha Christine Moore, LVN
• Omar Mora-Perez, MSW, ASW
• Marisol Mojica Morales, BA
• Rebecca Joanne Moralez
• Audra Monroe Moran
• Alexander Jake Alfonso Moreno, D.D.S.
• Casey McConnell Moreno
• Laura P Moreno, RN
• Mauro Moreno, PAC
• Morgan Szymczak Marriage and Family Therapy

• Pediatrics Physician in Chico, CA
• Providers in Chico, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.