Active NPI
Danielle Anne Taysom, M.D.
- Diagnostic Radiology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01054088A
- Practice address
- 34520 Bob Wilson Dr
Naval Medical Center San Diego
San Diego, CA 92134 - Phone
- (619) 532-6400
- NPI assigned
- Feb 21, 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 01054088A | IN | Primary |
Addresses
Primary practice location
34520 Bob Wilson Dr
Naval Medical Center San Diego
San Diego, CA 92134
Mailing address
612 Rue Bayonne
Chula Vista, CA 91913-1215
Phone (619) 421-4363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11957 Caneridge PL
San Diego, CA 92128-5239
Phone (888) 522-4514
200 W Lorain St
Oberlin, OH 44074-1026
Phone (888) 271-3826
Hospital & facility affiliations
- Mercy St Vincent Medical Center
- Mercy Health - West Hospital
- Mercy Health - Fairfield Hospital
- Mercy Health - Clermont Hospital
- MH St Joseph Warren Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01054088A | IN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Radiology Corp | Diagnostic Radiology | Current | Accepting new patients |
| Radiologic Consultants, LTD | Diagnostic Radiology | Past | Accepting new patients |
Locations
111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232
200 W Lorain St
Oberlin, OH 44074
Phone (440) 775-1211
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Greensburg, PA
- NPI 1649283219
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Batavia, OH
- NPI 1568562551
-
- General Acute Care Hospital
- Fairfield, OH
- NPI 1467552471
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1912007931
-
- General Acute Care Hospital
- Warren, OH
- NPI 1629009964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1528033792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 RUE BAYONNE",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919131215",
"telephone_number": "619-421-4363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34520 BOB WILSON DR",
"address_2": "NAVAL MEDICAL CENTER SAN DIEGO",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92134",
"telephone_number": "619-532-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYSOM",
"first_name": "DANIELLE",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01054088A",
"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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.