NPIMap

Individual provider Active NPI

Daniel C Meador, MD

  • Internal Medicine Physician
  • Sonora, CA
National Provider Identifier
1619925989
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A71176 Issued in CA
Practice address
782 Delnero Dr
Sonora, CA 95370-5223
Phone
(209) 694-7123
NPI assigned
May 5, 2006
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A71176 CA
Internal Medicine Physician 207R00000X A71176 CA Primary
Hospitalist Physician 208M00000X A71176 CA

Addresses

Primary practice location

782 Delnero Dr
Sonora, CA 95370-5223

Mailing address

782 Delnero Dr
Sonora, CA 95370-5223
Phone (209) 694-7123

Other practice location 1

19929 Greenley Rd
Sonora, CA 95370-5996
Phone (209) 533-2500

Other identifiers 1

IdentifierTypeStateIssuer
00A711760MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070328000282 CA Practitioner - HospitalistPractitioner - Internal Medicine 0648374850 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Michigan State University College of Human Medicine
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

109 E Jackson St
Sonora, CA 95370-5763
Phone (209) 454-7861

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71176CAMDPharmacist
A71176CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Jan 1, 2017 Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp Emergency Medicine Current Accepting new patients
California Emergency Physicians Medical Group a Professional Corp CurrentSince Mar 1, 2018 Accepting new patients
Mismo Dermatology Group Apc CurrentSince Dec 29, 2022 Accepting new patients
Careconnectmd Ca PC CurrentSince May 23, 2022 Accepting new patients
San Diego Dermatology Partners Apc CurrentSince Dec 29, 2022 Accepting new patients
Galen Inpatient Physicians PC Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Hospitalists of Modesto Medical Group Inc Internal Medicine CurrentSince Feb 26, 2015 Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp. Internal Medicine CurrentSince Mar 1, 2018 Accepting new patients
Sonora Community Hospital PastSince Dec 14, 2015 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

7918 El Cajon Blvd
Ste N186
La Mesa, CA 91942
Phone (619) 303-3704

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1700 McHenry Ave
Ste 65B
Modesto, CA 95350
Phone (209) 581-7063

6280 Jackson Dr
Ste 8
San Diego, CA 92119
Phone (619) 464-1607

6280 Jackson Dr
Ste 9
San Diego, CA 92119
Phone (619) 303-3642

8898 Navajo Rd
Ste C349
San Diego, CA 92119
Phone (619) 303-3704

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

179 Fairview Ln
Sonora, CA 95370
Phone (209) 536-3850

19929 Greenley Rd
Sonora, CA 95370
Phone (209) 533-2500

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Golden Merced Care CenterMerced, CA, CCN 055988 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2023
Mar 1, 2023
Golden Modesto Care CenterModesto, CA, CCN 056301 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2023
Mar 1, 2023
Golden Sonora Care CenterSonora, CA, CCN 555736 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2023
Mar 1, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1619925989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 DELNERO DR",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705223",
            "telephone_number": "209-694-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 DELNERO DR",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705223",
            "telephone_number": "209-694-7123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19929 Greenley Rd",
            "address_purpose": "LOCATION",
            "city": "Sonora",
            "state": "CA",
            "postal_code": "953705996",
            "country_code": "US",
            "telephone_number": "209-533-2500",
            "fax_number": "209-533-0187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEADOR",
        "first_name": "DANIEL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A71176",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A71176",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A71176",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A711760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

Verify at the official NPI Registry.