Individual provider Active NPI

Daniel G Vermilion

  • Psychiatry Physician
  • Daly City, CA
National Provider Identifier
1396863247
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G48817 Issued in CA
Practice address
350 90TH St FL 2
Daly City, CA 94015-1879
Phone
(650) 301-8670
Fax
(650) 301-8639
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G48817 CA Primary

Addresses

Primary practice location

350 90TH St FL 2
Daly City, CA 94015-1879

Mailing address

350 90TH St FL 2
Daly City, CA 94015-1879
Phone (650) 301-8670

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
G48817CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1396863247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 90TH ST FL 2",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151879",
            "telephone_number": "650-301-8670",
            "fax_number": "650-301-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 90TH ST FL 2",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151879",
            "telephone_number": "650-301-8670",
            "fax_number": "650-301-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMILION",
        "first_name": "DANIEL",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G48817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.