Active NPI
Darren Doyle Phelan, M.D.
- Emergency Medicine Physician
- Menlo Park, CA
National Provider Identifier
1598878894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G071895
- Practice address
- 401 Burgess Dr
Suite D
Menlo Park, CA 94025-3469 - Phone
- (650) 326-0840
- Fax
- (650) 326-1719
- NPI assigned
- Aug 17, 2006
- Last updated
- May 1, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G071895 | CA | Primary |
Addresses
Primary practice location
401 Burgess Dr
Suite D
Menlo Park, CA 94025-3469
Mailing address
401 Burgess Dr
Suite D
Menlo Park, CA 94025-3469
Phone (650) 326-0840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 12, 2015 through May 12, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G071895 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swope Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
Locations
155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000
4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560
Interoperability endpoints
- darren.phelan.1@19661.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Grass Valley, CA
- NPI 1972500593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367366400000",
"number": "1598878894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 BURGESS DR",
"address_2": "SUITE D",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940253469",
"telephone_number": "650-326-0840",
"fax_number": "650-326-1719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 BURGESS DR",
"address_2": "SUITE D",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940253469",
"telephone_number": "650-326-0840",
"fax_number": "650-326-1719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELAN",
"first_name": "DARREN",
"middle_name": "DOYLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2013-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G071895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menlo Park, CA
- Carol Efron Peyser, M.D.
- Elizabeth Peyton
- Dennis Pham, M.D.
- Pharmaca Integrative Pharmacy, Inc. (Pharmaca Integrative Pharmacy)
- Avery Phelan
- Philip Rahm, PH.D LMFT Marriage and Family Therapy
- Thuy My Ngoc Phuong, PA-C
- Physiotherapy Associates Home Rehabilitation, LLC
- Physiotherapy Associates Inc (Select Physical Therapy)
- Kaylee Pickering, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.