Active NPI
Daniel P. Pellegrini, MD
- Specialist
- Sausalito, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G88091
- Practice address
- 302 4TH St
Sausalito, CA 94965-2409 - Phone
- (510) 220-9384
- NPI assigned
- Feb 20, 2006
- Last updated
- Jun 16, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD062510L | PA | |
| Specialist | 174400000X | G88091 | CA | Primary |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 84758 | CT | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | W1873 | TX |
Addresses
Primary practice location
302 4TH St
Sausalito, CA 94965-2409
Mailing address
200 W Magnolia Ave Ste 201
Fort Worth, TX 76104-7657
Phone (817) 702-2977
Other practice location 1
263 Farmington Ave
Farmington, CT 06030-8063
Phone (860) 679-8080
Other practice location 2
1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 702-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001659480 | Medicaid | PA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
| Direct Messaging Address | dpellegrini100580@direct.med.uchc.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- 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
- Cardiac Surgery
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1441 N Beckley Ave
Dallas, TX 75203-1201
200 W Magnolia Ave
Fort Worth, TX 76104-7657
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G88091 | CA | MD | Specialist |
| MD062510L | PA | MD | Specialist |
| W1873 | TX | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Adventist Health Physicians Network | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Medhealth | Current | Accepting new patients | |
| Acclaim Physician Group, Inc | Current | Accepting new patients | |
| Medhealth | Current | Accepting new patients | |
| University of California San Francisco Medical Center | Past | Accepting new patients | |
| UCSF Medical Group Business Services | Past | Accepting new patients | |
| UCSF Dept of Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Three Rivers Cardiac Institute Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
Locations
275 W MacArthur Blvd
Piedmont, CA 94611
Phone (510) 752-1375
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
2238 Geary Blvd
Fl 8
San Francisco, CA 94115
Phone (415) 823-8856
2425 Geary Blvd
San Francisco, CA 94115
Phone (415) 833-2200
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
1007 Live Oak Blvd
Ste B2
Yuba City, CA 95991
Phone (530) 671-8718
1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
200 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 702-2450
5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691
2800 E Broad St
Ste 514
Mansfield, TX 76063
Phone (682) 253-2986
Organizations & group practices 13
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.
-
- Multi-Specialty Clinic/Center
- Hanford, CA
- NPI 1063718583
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1780076562
-
- Physical Therapy Clinic/Center
- Paradise, CA
- NPI 1134092190
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Marysville, CA
- NPI 1477051423
-
- Internal Medicine Physician
- Stockton, CA
- NPI 1548343510
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- Surgery Physician
- San Francisco, CA
- NPI 1477627537
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
dba UCSF Medical Center
- General Acute Care Hospital
- San Francisco, CA
- NPI 1144325440
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventist Health and Rideout
- General Acute Care Hospital
- Marysville, CA
- NPI 1720088354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1649245176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W MAGNOLIA AVE STE 201",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761047657",
"telephone_number": "817-702-2977",
"fax_number": "817-702-2140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 4TH ST",
"city": "SAUSALITO",
"state": "CA",
"postal_code": "949652409",
"telephone_number": "510-220-9384"
}
],
"practiceLocations": [
{
"address_1": "263 Farmington Ave",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "CT",
"postal_code": "060308063",
"country_code": "US",
"telephone_number": "860-679-8080",
"fax_number": "860-679-1430",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 S Main St",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761044917",
"country_code": "US",
"telephone_number": "817-702-1100",
"fax_number": "817-702-2140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PELLEGRINI",
"first_name": "DANIEL",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-20",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD062510L",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G88091",
"primary": true
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CT",
"license": "84758",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TX",
"license": "W1873",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001659480",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "2425 Geary Blvd",
"city": "San Francisco",
"state": "CA",
"country_code": "US",
"postal_code": "941153358",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dpellegrini100580@direct.med.uchc.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "263 Farmington Ave",
"city": "Farmington",
"state": "CT",
"country_code": "US",
"postal_code": "060308063",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sausalito, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.