Individual provider Active NPI

Joseph Terence Daly, M.D.

  • Ophthalmology Physician
  • La Jolla, CA
National Provider Identifier
1356439038
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G26296 Issued in CA
Practice address
9834 Genesee Avenue
Suite 315
La Jolla, CA 92037-1221
Phone
(858) 457-4090
Fax
(858) 457-1543
NPI assigned
Oct 10, 2006
Last updated
Feb 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G26296 CA Primary

Addresses

Primary practice location

9834 Genesee Avenue
Suite 315
La Jolla, CA 92037-1221

Mailing address

9834 Genesee Avenue
Suite 315
La Jolla, CA 92037-1441
Phone (858) 457-4090

Other identifiers 2

IdentifierTypeStateIssuer
00G262960MedicaidCA
180032742OtherRAILROAD MEDICARE

Other names 1

  • Dr. J Terence Daly Professional name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040602001126 CA Practitioner - Ophthalmology 3779565924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G26296CAMDOphthalmology Physician

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1356439038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVENUE",
            "address_2": "SUITE 315",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371441",
            "telephone_number": "858-457-4090",
            "fax_number": "858-457-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVENUE",
            "address_2": "SUITE 315",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371221",
            "telephone_number": "858-457-4090",
            "fax_number": "858-457-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "JOSEPH",
        "middle_name": "TERENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G26296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G262960",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180032742",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J",
            "last_name": "DALY",
            "middle_name": "TERENCE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.