Active NPI
Daniel Konchan
- Physician Assistant
- Corona del Mar, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA62239
- Practice address
- 219 Marguerite Ave
Corona del Mar, CA 92625-3043 - Phone
- (949) 209-1563
- Fax
- (949) 539-8822
- NPI assigned
- Jan 31, 2023
- Last updated
- Jul 21, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA62239 | CA | Primary |
Addresses
Primary practice location
219 Marguerite Ave
Corona del Mar, CA 92625-3043
Mailing address
219 Marguerite Ave
Corona del Mar, CA 92625-3043
Phone (949) 209-1563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OR, AZ, NV, CO, WA, CT, SC, OH, UT, MD, TN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 13
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Murfreesboro, TN 37129
Phone (855) 434-7763
Louisville, KY 40241
Phone (855) 434-7763
Ontario, OR 97914
Phone 8554347763402
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6014 | SC | MD | Massage Therapist |
| PA62239 | CA | MD | Physician Assistant |
| 6698 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Doc South Carolina PC | Current | Accepting new patients | |
| Senior Doc, Tennessee PC | Current | Accepting new patients | |
| Senior Doc Maryland PC | Current | Accepting new patients | |
| Senior Doc Utah PC | Current | Accepting new patients | |
| Deva Health, Corp. | Past | Accepting new patients |
Locations
2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271
5 Hutton Centre Dr
Ste 95
Santa Ana, CA 92707
5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663
6700 Alexander Bell Dr
Ste 200
Columbia, MD 21046
Phone (201) 581-3411
700 Nexton Square Dr
Ste 410
Summerville, SC 29486
2615 Medical Center Pkwy
Ste 1560
Murfreesboro, TN 37129
Phone (615) 525-6181
40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410
221 E 25th St
Ogden, UT 84401
Phone (623) 300-5477
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1063825289
AZ, CO, KY, OH, OR, TN, UT, WA
-
- Family Medicine Physician
- Columbia, MD
- NPI 1689551822
-
- Family Medicine Physician
- Summerville, SC
- NPI 1184501314
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1700477627
-
- Family Medicine Physician
- Marysville, WA
- NPI 1588430367
-
- Internal Medicine Physician
- Corona del Mar, CA
- NPI 1760310940
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newport Beach, CA
- NPI 1528014982
-
- Home Health Agency
- Redding, CA
- NPI 1992751382
-
dba Remedy Home Health Care
- Home Health Agency
- Northridge, CA
- NPI 1609040740
-
- Home Health Agency
- Encino, CA
- NPI 1396117982
-
dba Apex Home Health Care Services
- Home Health Agency
- Anaheim, CA
- NPI 1669524831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1356047542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 MARGUERITE AVE",
"city": "CORONA DEL MAR",
"state": "CA",
"postal_code": "926253043",
"telephone_number": "949-209-1563",
"fax_number": "949-539-8822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 MARGUERITE AVE",
"city": "CORONA DEL MAR",
"state": "CA",
"postal_code": "926253043",
"telephone_number": "949-209-1563",
"fax_number": "949-539-8822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONCHAN",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-31",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA62239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona del Mar, CA
- Robert W Kessler, M. D.
- Kevin J Taylor DDS Inc
- Kha D Le Dental Corp. (Coast Dental & Implant Center)
- Khjavid and Mnadi Dental Corp
- Andy Chau Khuong, PHARMD
- Sophie Kubichek, LMFT
- Darlene Sherri Lara, D.C.
- Rosalyn Maria Laudati, PHD
- Lee MD, Inc (Newport Dermatology Institute)
- Catherine Hee Yong Lee, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.