Individual provider Active NPI

Daniel Harris Jenkins, DO

  • Family Medicine Physician
  • Salinas, CA
National Provider Identifier
1376109595
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A22040 Issued in CA
Practice address
400 E Romie LN
Salinas, CA 93901-4017
Phone
(831) 770-0123
NPI assigned
May 13, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20A22040 CA Primary

Addresses

Primary practice location

400 E Romie LN
Salinas, CA 93901-4017

Mailing address

400 E Romie LN
Salinas, CA 93901-4017
Phone (831) 770-0123

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
I20240517000014 CA Practitioner - Family Practice 2163758640 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Acacia Family Medical GroupGroup PAC ID 6507840394, 6 clinicians

Practice addresses (Care Compare)

8036 San Miguel Canyon Rd
Salinas, CA 93907-1208
Phone (831) 663-0123

Hospital & facility affiliations

  • Salinas Valley Health Medical Center Hospital, Salinas, CA, CCN 050334

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A22040CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acacia Family Medical Group, Inc. Single Specialty CurrentSince Apr 1, 2024 Accepting new patients
Acacia Family Medical Group Single Specialty CurrentSince Apr 1, 2024 Accepting new patients

Locations

400 E Romie Ln
Salinas, CA 93901
Phone (831) 770-0123

8036 San Miguel Canyon Rd
Salinas, CA 93907
Phone (617) 838-4702

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1376109595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E ROMIE LN",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014017",
            "telephone_number": "831-770-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E ROMIE LN",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014017",
            "telephone_number": "831-770-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "DANIEL",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-13",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A22040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.