Individual provider Active NPI

Daryl Kristin Hoffman, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Palo Alto, CA
National Provider Identifier
1437190501
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
G059181 Issued in CA
Practice address
805 El Camino Real
Suite a
Palo Alto, CA 94301-2315
Phone
(650) 325-1118
Fax
(650) 321-8943
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G059181 CA
Plastic Surgery Physician 208200000X G059181 CA
Plastic and Reconstructive Surgery Physician 2086S0122X G059181 CA Primary

Addresses

Primary practice location

805 El Camino Real
Suite a
Palo Alto, CA 94301-2315

Mailing address

805 El Camino Real
Suite a
Palo Alto, CA 94301-2315
Phone (650) 325-1118

Other identifiers 2

IdentifierTypeStateIssuer
G059181OtherCALICENSE
27-1713045OtherCAGROUP TAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 8, 2016 through Feb 8, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G059181CAMDSpecialist
59181CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1437190501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 EL CAMINO REAL",
            "address_2": "SUITE A",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012315",
            "telephone_number": "650-325-1118",
            "fax_number": "650-321-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 EL CAMINO REAL",
            "address_2": "SUITE A",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012315",
            "telephone_number": "650-325-1118",
            "fax_number": "650-321-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "DARYL",
        "middle_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G059181",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G059181",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "G059181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G059181",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TAX ID",
            "identifier": "27-1713045",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.