Individual provider Active NPI

Daniel Large, PA-C

  • Physician Assistant
  • San Francisco, CA
National Provider Identifier
1508305707
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA65384 Issued in CA
Practice address
505 Parnassus Ave # L-352
San Francisco, CA 94143-2204
Phone
(415) 353-1863
Fax
(415) 353-9488
NPI assigned
Feb 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA65384 CA Primary
Physician Assistant 363A00000X PA2028 ME
Physician Assistant 363A00000X PA6046 MA
Surgical Physician Assistant 363AS0400X PA2028 ME

Addresses

Primary practice location

505 Parnassus Ave # L-352
San Francisco, CA 94143-2204

Mailing address

49 Spring St
Scarborough, ME 04074-8926
Phone (207) 885-0011

Other practice location 1

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-0011

Other practice location 2

49 Spring St
MMP Neurosurgery and Spine
Scarborough, ME 04074
Phone (207) 662-5490

Other practice location 3

60 Fenwood Rd
Center for CV Diseases Dept of Neurosurgery
Boston, MA 02115-6128
Phone (617) 525-7874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200330001489 ME Practitioner - Physician Assistant 4082981477 Reassigns benefits to 3 organizations
I20260120000316 CA Practitioner - Physician Assistant 4082981477 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mercy HospitalGroup PAC ID 6103737812, 307 clinicians
MainehealthGroup PAC ID 7517860588, 2,616 clinicians
Riverview Physical Therapy Limited PartnershipGroup PAC ID 2769393586, shared by 2 NPIs, 58 clinicians

Practice addresses (Care Compare)

155 Rover River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000

175 Fore River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000

195 Fore River Pkwy
Suite 440
Portland, ME 04102-2788
Phone (207) 553-6054

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

40 Park Rd
Westbrook, ME 04092-3188
Phone (207) 857-8174

50 Forest Falls Dr
Yarmouth, ME 04096-6937

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
65384CAMDPharmacist
PA65384CAMDPhysician Assistant
PA6046MAMDPhysician Assistant
PA2028MEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital CurrentSince Jun 23, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 9, 2026 Accepting new patients
Mainehealth CurrentSince Apr 27, 2020 Accepting new patients
Regents of the University of California CurrentSince Jan 9, 2026 Accepting new patients
University of California San Francisco CurrentSince Jan 9, 2026 Accepting new patients
University of California San Francisco CurrentSince Jan 9, 2026 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 9, 2026 Accepting new patients
Mercy Hospital CurrentSince Jun 23, 2024 Accepting new patients
Maine Medical Partners CurrentSince Apr 27, 2020 Accepting new patients
UCSF Pediatrics Associates CurrentSince Jan 9, 2026 Accepting new patients
Maine Medical Partners Physician Assistant CurrentSince Apr 27, 2020 Accepting new patients
Mainehealth Past Accepting new patients

Locations

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
#L352
San Francisco, CA 94143
Phone (415) 353-1863

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

49 Spring St
Scarborough, ME 04074
Phone (207) 883-1414

92 Campus Dr
Ste A
Scarborough, ME 04074
Phone (207) 885-0011

1 Harnois Ave
Ste 1A
Westbrook, ME 04092
Phone (207) 662-1360

40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Interoperability endpoints

  • Direct secure messaging: dlarge291076@direct.mmc.mainehealth.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 40

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1508305707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 SPRING ST",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748926",
            "telephone_number": "207-885-0011",
            "fax_number": "207-885-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE # L-352",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-353-1863",
            "fax_number": "415-353-9488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-885-0011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "49 Spring St",
            "address_2": "MMP Neurosurgery and Spine",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "04074",
            "country_code": "US",
            "telephone_number": "207-662-5490",
            "fax_number": "207-885-5851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Fenwood Rd",
            "address_2": "Center for CV Diseases Dept of Neurosurgery",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021156128",
            "country_code": "US",
            "telephone_number": "617-525-7874",
            "fax_number": "617-713-3050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARGE",
        "first_name": "DANIEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-21",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA65384",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA2028",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA6046",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "ME",
            "license": "PA2028",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.