Daniel Blaine Dahle, MD
Individual provider Active NPI Family Medicine Physician · Bieber, CA
NPI 1497797906 · NPPES record last updated Aug 30, 2018
Key facts
- NPI
- 1497797906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 653557 (CA)
- Practice address
- 554-850 Medical Center Drive
Bieber, CA 96009-0277 - Phone
- (530) 294-5241
- Fax
- (530) 294-5801
- NPI assigned
- Jun 11, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 653557 | CA | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 653557 | CA | Yes |
Addresses
Primary practice location
554-850 Medical Center Drive
Bieber, CA 96009-0277
Mailing address
PO Box 277
Bieber, CA 96009-0277
Phone (530) 294-5241
Other providers in Bieber, CA
- Tami Blecha
- Susan Cabrera
- Myriam Defay
- Stanley E Goodin
- Sharon A Hanson
- HSS 1 Stop Big Valley
- Lassen County
All providers in Bieber, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.