Active NPI
Danielle P. Twyman, P.A.-C.
- Physician Assistant
- San Diego, CA
National Provider Identifier
1407958978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA13721
- Practice address
- 15025 Innovation Dr
San Diego, CA 92128-3409 - Phone
- (858) 487-1800
- Fax
- (858) 784-5933
- NPI assigned
- Sep 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA13721 | CA | Primary |
Addresses
Primary practice location
15025 Innovation Dr
San Diego, CA 92128-3409
Mailing address
54433 File
Los Angeles, CA 90074-0001
Phone (858) 784-5767
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA13721 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Clinic Medical Group | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1124003280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407958978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54433 FILE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900740001",
"telephone_number": "858-784-5767",
"fax_number": "858-784-5933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15025 INNOVATION DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921283409",
"telephone_number": "858-487-1800",
"fax_number": "858-784-5933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TWYMAN",
"first_name": "DANIELLE",
"middle_name": "P.",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA13721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.