Individual provider Active NPI

Patricia Unia Daniels

  • Student in an Organized Health Care Education/Training Program
  • Hesperia, CA
National Provider Identifier
1386267169
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
108970 Issued in CA
Practice address
16501 Walnut St Ste 12
Hesperia, CA 92345-3684
Phone
(760) 949-1200
Fax
(760) 657-2408
NPI assigned
May 27, 2020
Last updated
May 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 108970 CA Primary

Addresses

Primary practice location

16501 Walnut St Ste 12
Hesperia, CA 92345-3684

Mailing address

16501 Walnut St Ste 1216501
Hesperia, CA 92345-3641
Phone (760) 949-1200

Other identifiers 1

IdentifierTypeStateIssuer
390200000XOtherCAAMFT #108970

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Hesperia

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
108970CAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Conscious Behavioral Health, a Medical Corporation Student in an Organized Health Care Education/Training Program PastSince May 31, 2020 Accepting new patients
Life Skills Awareness a Psychology Professional Corporation PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

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": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1386267169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16501 WALNUT ST STE 1216501",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453641",
            "telephone_number": "760-949-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16501 WALNUT ST STE 12",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453684",
            "telephone_number": "760-949-1200",
            "fax_number": "760-657-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "PATRICIA",
        "middle_name": "UNIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "108970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMFT #108970",
            "identifier": "390200000X",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hesperia",
            "affiliation": "N",
            "address_1": "16501 Walnut St Ste 12",
            "city": "Hesperia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923453684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.