Organization Active NPI

Daryl Munzer,MD a Professional Medical Corporation

  • Primary Care Clinic/Center
  • Yuba City, CA
National Provider Identifier
1477582740
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
G55385 Issued in CA
Legal business name
DARYL MUNZER,MD A PROFESSIONAL MEDICAL CORPORATION
Practice address
450 Queens Ave
Yuba City, CA 95991-2965
Phone
(530) 674-4525
Fax
(530) 674-4514
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Dr. Daryl David Munzer, MD
Title
President
Phone
(530) 674-4525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X G55385 CA Primary

Addresses

Primary practice location

450 Queens Ave
Yuba City, CA 95991-2965

Mailing address

450 Queens Ave
Yuba City, CA 95991-2965
Phone (530) 674-4525

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1477582740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 QUEENS AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959912965",
            "telephone_number": "530-674-4525",
            "fax_number": "530-674-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 QUEENS AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959912965",
            "telephone_number": "530-674-4525",
            "fax_number": "530-674-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARYL MUNZER,MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "MUNZER",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-674-4525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G55385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.

Verify at the official NPI Registry.