Individual provider Active NPI

Daniel Harrison, M.D

  • Internal Medicine Physician
  • Escondido, CA
National Provider Identifier
1629098884
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G81812 Issued in CA
Practice address
425 N Date St
Escondido, CA 92025-3413
Phone
(760) 739-2371
Fax
(760) 739-2376
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G81812 CA
Internal Medicine Physician 207R00000X G81812 CA Primary

Addresses

Primary practice location

425 N Date St
Escondido, CA 92025-3413

Mailing address

425 N Date St
Escondido, CA 92025-3413
Phone (760) 737-2035

Other practice location 1

2185 Citracado Pkwy
Escondido, CA 92029-4159
Phone (760) 291-6700

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
I20050527000386 CA Practitioner - Internal Medicine 4385686591 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Davis School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
24 On Physicians of California PCGroup PAC ID 7012228992, 58 clinicians
Palomar Hospitalist Medical Group IncGroup PAC ID 3678978269, 53 clinicians
Graybill Medical Group IncGroup PAC ID 9335050517, 103 clinicians

Practice addresses (Care Compare)

1415 Ross Ave
El Centro, CA 92243-4306
Phone (760) 339-4045

15615 Pomerado Rd
Poway, CA 92064-2405
Phone (310) 379-2134

2185 Citracado Pkwy
Escondido, CA 92029-4159
Phone (310) 379-2134

85 Sierra Park Rd
Mammoth Lakes, CA 93546-2073
Phone (760) 934-3311

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81812CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Palomar Hospitalist Medical Group, Inc CurrentSince Dec 9, 2021 Accepting new patients
Cep America - Intensivists PC CurrentSince Jul 1, 2015 Accepting new patients
Graybill Medical Group Inc Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
Cep America - Intensivists PC CurrentSince Jul 1, 2015 Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp Current Accepting new patients
Cep America - Intensivists PC Current Accepting new patients
Southern Mono Health Care District CurrentSince Dec 1, 2022 Accepting new patients
24 On Physicians of California, PC CurrentSince Aug 15, 2022 Accepting new patients
California Emergency Physicians Medical Group a Professional Corp CurrentSince Aug 1, 2015 Accepting new patients
California Emergency Physicians Medical Group a Professional Corp Internal Medicine CurrentSince Aug 1, 2015 Accepting new patients
Sports Medicine Grant, Inc Past Accepting new patients

Locations

1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

225 E 2nd Ave
Escondido, CA 92025

201 N Fig St
Escondido, CA 92025
Phone (760) 746-0303

201 N Fig St
#1182
Escondido, CA 92025
Phone (760) 746-0303

2185 Citracado Pkwy
#1182
Escondido, CA 92029
Phone (805) 473-7626

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

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

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Apreva HospiceSan Diego, CA, CCN 551557 Hospice Contracted Managing Employee Jun 1, 2015

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 11

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1629098884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N DATE ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253413",
            "telephone_number": "760-737-2035",
            "fax_number": "760-741-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N DATE ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253413",
            "telephone_number": "760-739-2371",
            "fax_number": "760-739-2376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2185 Citracado Pkwy",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920294159",
            "country_code": "US",
            "telephone_number": "760-291-6700",
            "fax_number": "760-746-5313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "DANIEL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G81812",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G81812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.