Individual provider Active NPI

Danielle Davaros, PA-C

  • Medical Physician Assistant
  • San Francisco, CA
National Provider Identifier
1356713648
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
54449 Issued in CA
Practice address
909 Hyde St Ste 419
San Francisco, CA 94109
Phone
(415) 678-5887
Fax
(415) 829-8897
NPI assigned
Oct 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 54449 CA Primary

Addresses

Primary practice location

909 Hyde St Ste 419
San Francisco, CA 94109

Mailing address

6399 San Ignacio Ave Ste 120
San Jose, CA 95119-1215
Phone (408) 369-5620

Other practice location 1

1800 Sullivan Ave Rm 403
Daly City, CA 94015-2224
Phone (650) 994-3238

Other practice location 2

2925 Aventura Blvd Ste 205
Aventura, FL 33180-3108
Phone (305) 933-6716

Other practice location 3

2725 Mendocino Ave
Santa Rosa, CA 95403-2805
Phone (707) 545-4537

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201207000618 CA Practitioner - Physician Assistant 2961707088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Nova Southeastern College of Osteo Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Csi Medical GroupGroup PAC ID 5890916845, 104 clinicians

Practice addresses (Care Compare)

136 N San Mateo Dr
San Mateo, CA 94401-2777
Phone (650) 348-1242

1800 Sullivan Ave
Daly City, CA 94015-2224
Phone (650) 994-3238

2725 Mendocino Ave
Santa Rosa, CA 95403-2805
Phone (707) 545-4537

3838 California St
RM 610
San Francisco, CA 94118-1508
Phone (415) 387-8007

555 S Dora St
Ukiah, CA 95482-5424
Phone (707) 462-3996

909 Hyde St
Suite 419
San Francisco, CA 94109-4846
Phone (415) 678-5887

Merit-based Incentive Payment System (MIPS)

Final score
92.97 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.57

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
54449CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter East Bay Medical Foundation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: danielle.davaros@schweigerderm.emadirect.md
  • Direct secure messaging: ddavaros@csinorthca.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1356713648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6399 SAN IGNACIO AVE STE 120",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191215",
            "telephone_number": "408-369-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 HYDE ST STE 419",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94109",
            "telephone_number": "415-678-5887",
            "fax_number": "415-829-8897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Sullivan Ave Rm 403",
            "address_purpose": "LOCATION",
            "city": "Daly City",
            "state": "CA",
            "postal_code": "940152224",
            "country_code": "US",
            "telephone_number": "650-994-3238",
            "fax_number": "650-991-1119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2925 Aventura Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331803108",
            "country_code": "US",
            "telephone_number": "305-933-6716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2725 Mendocino Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954032805",
            "country_code": "US",
            "telephone_number": "707-545-4537",
            "fax_number": "707-545-6726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVAROS",
        "first_name": "DANIELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "54449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.