Individual provider Active NPI

Daniel Schaffner, MD

  • Family Medicine Physician
  • Oakhurst, CA
National Provider Identifier
1588659072
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G57725 Issued in CA
Practice address
48677 Victoria LN
Oakhurst, CA 93644-9216
Phone
(559) 683-6331
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G57725 CA Primary

Addresses

Primary practice location

48677 Victoria LN
Oakhurst, CA 93644-9216

Mailing address

PO Box 28900
Fresno, CA 93729
Phone (559) 228-4205

Other identifiers 1

IdentifierTypeStateIssuer
00G577250MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060118000269 CA Practitioner - General Practice 7416971460 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57725CAMDPharmacist
G57725CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Jan 1, 2013 Accepting new patients
Community Foundation Medical Group CurrentSince Jan 1, 2013 Accepting new patients
Oakhurst Emergency Medicine Group Past Accepting new patients
Marvin P Matlock M D Inc Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

681 N Medical Center Dr W
Ste 103
Clovis, CA 93611
Phone (559) 299-2200

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

7407 N Cedar Ave
Ste 102
Fresno, CA 93720
Phone (559) 369-4421

48677 Victoria Ln
Oakhurst, CA 93644
Phone (559) 683-2711

1429 N Acacia Ave
Reedley, CA 93654
Phone (559) 638-2522

1433 N Acacia Ave
Reedley, CA 93654
Phone (559) 391-3100

1425 N Acacia Ave
Reedley, CA 93654
Phone (209) 637-1050

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1588659072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28900",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93729",
            "telephone_number": "559-228-4205",
            "fax_number": "559-224-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48677 VICTORIA LN",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936449216",
            "telephone_number": "559-683-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFNER",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G57725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G577250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, CA

Sources for this page

Verify at the official NPI Registry.