Individual provider Active NPI

Daniel Matthew Fentress, MD

  • Family Medicine Physician
  • Martinez, CA
National Provider Identifier
1649583071
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A109455 Issued in CA
Practice address
2500 Alhambra Ave
Martinez, CA 94553-3156
Phone
(925) 370-5110
Fax
(925) 370-5142
NPI assigned
Jul 14, 2010
Last updated
Jul 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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 A109455 CA Primary

Addresses

Primary practice location

2500 Alhambra Ave
Martinez, CA 94553-3156

Mailing address

595 Center Ave
Suite 300
Martinez, CA 94553-4633
Phone (925) 313-6098

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
I20140708001415 CA Practitioner - Family PracticePractitioner - Hospitalist 5294950218 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
University of California, Davis School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quantum Healthcare Medical Associates IncGroup PAC ID 5294647574, 109 clinicians
La Clinica de la Raza IncGroup PAC ID 1557258282, 130 clinicians

Practice addresses (Care Compare)

300 Hospital Dr
Vallejo, CA 94589-2574
Phone (707) 554-4444

415 Georgia St
Vallejo, CA 94590-6004
Phone (707) 556-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.5 of 100Reported as group
Quality
84.58
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A109455CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Redwood Medical Group Inc Family Medicine CurrentSince Apr 15, 2022 Accepting new patients
La Clinica de la Raza Inc Current Accepting new patients
Galen Inpatient Physicians PC CurrentSince Jun 1, 2022 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Jun 1, 2022 Accepting new patients
La Clinica de la Raza Inc CurrentSince Sep 1, 2021 Accepting new patients
County of Sacramento CurrentSince Feb 1, 2020 Accepting new patients
County of Sacramento CurrentSince Feb 1, 2020 Accepting new patients
Quantum Healthcare Medical Associates Inc. Family Medicine CurrentSince May 15, 2014 Accepting new patients
Chavez Emergency Physicians Medical Group, Inc. CurrentSince Feb 1, 2016 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
La Clinica de la Raza Inc CurrentSince Sep 1, 2021 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

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

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

1065 Bucks Lake Rd
Quincy, CA 95971
Phone (530) 283-2121

4600 Broadway
Sacramento, CA 95820
Phone (916) 874-9670

4600 Broadway
#1100
Sacramento, CA 95820
Phone (916) 874-9670

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

220 Hospital Dr
Vallejo, CA 94589
Phone (707) 641-1900

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

415 Georgia St
Vallejo, CA 94590
Phone (707) 556-8100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dfentress24205@hisp.ehr.sutterhealth.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1649583071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 CENTER AVE",
            "address_2": "SUITE 300",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534633",
            "telephone_number": "925-313-6098",
            "fax_number": "925-313-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ALHAMBRA AVE",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945533156",
            "telephone_number": "925-370-5110",
            "fax_number": "925-370-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTRESS",
        "first_name": "DANIEL",
        "middle_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A109455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, CA

Sources for this page

Verify at the official NPI Registry.