Daniel Gordon Buchanan, PA-C
Individual provider Active NPI Physician Assistant · Truckee, CA
NPI 1356498588 · NPPES record last updated Jul 1, 2024
Key facts
- NPI
- 1356498588
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 16103 (CA)
- Practice address
- 10121 Pine Ave
Truckee, CA 96161-4835 - Phone
- (530) 587-6011
- Fax
- (530) 582-3287
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tahoe Forest Hospital District
Practice addresses (Care Compare)
10051 Lake Ave
Truckee, CA 96161-4870
Phone (530) 587-7461
10121 Pine Ave
Truckee, CA 96161-4835
Phone (530) 587-6011
Hospital & facility affiliations
- Tahoe Forest Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.06 of 100
- Quality
- 83.97
- Promoting interoperability
- 88
- Improvement activities
- 40
- Cost
- 42.89
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150122000007 | CA | Practitioner - Physician Assistant | 1456599083 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16103 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tahoe Forest Hospital District | Current |
Accepting new patients | |
| Tahoe Forest Hospital District | Current |
Accepting new patients | |
| Cep America - California | Current |
Accepting new patients | |
| Tahoe Forest Hospital District | Past | Accepting new patients |
Locations
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
10051 Lake Ave
Ste 3
Truckee, CA 96161
Phone (530) 587-7461
10121 Pine Ave
Fl 2
Truckee, CA 96161
Phone (530) 582-6368
10956 Donner Pass Rd
Ste 230
Truckee, CA 96161
Phone (530) 582-3277
10121 Pine Ave
Truckee, CA 96161
Phone (530) 582-3220
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA885 | NV | |
| Physician Assistant | 363A00000X | 16103 | CA | Yes |
Addresses
Primary practice location
10121 Pine Ave
Truckee, CA 96161-4835
Mailing address
10121 Pine Ave
Truckee, CA 96161-4835
Phone (530) 587-6011
Other practice location 1
1155 Mill St
Reno, NV 89502-1576
Phone (775) 982-4452
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12506506 | Other | CAQH | |
| 16103 | Other | CA | STATE LICENSE |
Other providers in Truckee, CA
- Dorothy Marie Brown
- Laura Brown
- Grant Anderson Brownell
- Brianna Brownfield
- Kirsten Brutzman-Livak
- Lisanne Ryner Burkholder
- Laura Jane Burley
- C. Gregory Jellinek, M.D., a Medical Corporation
- Carissa Giordani Cahill
- Zoe K Cahill
All providers in Truckee, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.